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Congestive HF

Categories of CHF Anatomic or functional Biochemical & physiological that increases myocardial workload or decreases myocardial O2 delivery. Extra cardiac factors
Signs & Symptoms Dyspnea, fatigue, orthopnea & paroxysmal nocturnal dyspnea, brochospasm & wheezing, crackles, hempotysis & dysphagia, pulmonary edema, JVD, gallops (S3, S4), murmurs, displaced apical pulse, hepatomegaly and peripheral edema, nocturia
Systolic dysfunction Most common type of heart failure Dec EF and CO Preload, contractility and afterload are all affected Think of a over stretched balloon
Diastolic dysfunction Inc ventricular stiffness & dec compliance Causes:HTN, ischemic CAD, aortic stenosis, infiltrative or restrictive myocardial disease
Beta Blockers Important in decreasing catecholamines Use cautiously in COPD and asthma
Common Causes of HF CAD, HTN, ETOH, idiopathic dilated cardiomyopathy
Created by: Maryleegee