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WEEK 20:

HEART FAILURE PLENARY:

QuestionAnswer
LHF symptoms (DSA) Dyspnoea Sweating Anxiety
LHF signs (TBP) Tachyopnoea Bibasal fine crepitations Pleural Effusions
RHF symptoms Generally unwell Cause may dictate symptoms
RHF signs (RHP) Raised JVP Hypotension Peripheral oedema
acute causes of LHF Myocardial Infarction Myocardial Ischaemia Increased myocardial demands Tachycardia Acute Illness Renal artery stenosis Excess fluids
acute causes of RHF Lung conditions Pulmonary embolism
chronic heart failure causes Ischaemic (MI or Other ischaemia) Hypertensive Congenital Toxic Idiopathic
pathophysiology of heart failure imbalance of starling forces: Increased pulmonary capillary pressure Decreased plasma oncotic pressure Increased negative interstitial pressure Damage to the alveolar-capillary barrier
description of heart failure (pp) persistent and progressive condition
which patients are at a high risk of sudden death patients with heart failure and reduced ejection fraction
treatment (type of drug) diuretics
treatment includes Angiotensin Receptor Blocker / Neprolysin Inhibitor (Entresto) Mineralocorticoid Receptor Antagonist (Eplerenone and Spironolactone) Beta blocker (Bisoprolol and Carvedilol) SGLT2 inhibitor (Dapagliflozin and Empaglaflozin)
CRT as treatment uses special pacemaker to make both ventricles beat together at the same time (synchronises them) which allows more medications to be prescribed
predictors of good response for CRT (4) Female Sinus rhythm 1st degree AV block Non ischaemic
Created by: kablooey
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