Term
| Who are the patients at high risk for developing HF? |
|
Definition
Hypertension
CAD
DM
Fam Hx of C-myopathy |
|
|
Term
| Stage B Asymptomatic HF patients |
|
Definition
Previous MI
LV systolic dysfunction
asymp valvular dz |
|
|
Term
|
Definition
known structural heart dz
SOB and fatigue
reduced exercise tolerance |
|
|
Term
| Stage D refractory end stage HF pts. |
|
Definition
| Marked symptoms at rest w/maximal medical therapy |
|
|
Term
| ACE inhibition in Heart Failure |
|
Definition
all patients w/asymptomatic LVD
Class I to IV w/LVEF <.40 |
|
|
Term
| What are ACEi's contra'd in |
|
Definition
| hyperkalemia, angioedema, pregnancy |
|
|
Term
|
Definition
similar action as ACE, but direct block of receptors
**no cough** |
|
|
Term
|
Definition
use in hospitalized patients
asymptomatic LVD dysfunction I-IV
HF improves after 3-4 months |
|
|
Term
|
Definition
cardiogenic shock
severe reactive airway dz
2nd or 3rd degree heart block |
|
|
Term
| Aldosterone antagonist use in HF |
|
Definition
| reduce mortality in chronic HF |
|
|
Term
| What are aldosterone antags contra'd in? |
|
Definition
|
|
Term
| indications for aldosterone antagonist |
|
Definition
| Class II to IV HF due to LVD |
|
|
Term
| Which aldosterone antag has the fewer side effects? |
|
Definition
|
|
Term
|
Definition
| treat symptoms of congestion |
|
|
Term
| Direct vasodilators in HF |
|
Definition
short term use-no benefit for survival
Hydralazine and Isosorbide dinitrate improves symptoms |
|
|
