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Congestive HF

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Answer
Categories of CHF   Anatomic or functional Biochemical & physiological that increases myocardial workload or decreases myocardial O2 delivery. Extra cardiac factors  
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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  
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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  
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Diastolic dysfunction   Inc ventricular stiffness & dec compliance Causes:HTN, ischemic CAD, aortic stenosis, infiltrative or restrictive myocardial disease  
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Beta Blockers   Important in decreasing catecholamines Use cautiously in COPD and asthma  
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Common Causes of HF   CAD, HTN, ETOH, idiopathic dilated cardiomyopathy  
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