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23 Cards in this Set

  • Front
  • Back

Heart failure is a progressive syndrome diagnosed with clinical findings as well as ____ and _____ cardiac changes.

Structural


Functional

Two categories of HF

HF with reduced LVEF


HF with preserved EF, 55% or higher

CHF is HF with an EF of ___ or below.

35%

In systole, HF is usually below ____

35%

In diastolic HF EF may be___ but the RV is enlarged or has ____ filling.

Normal


Abnormal

_____ _____ cardiac output fails to meet the bodies metabolic needs. This is a ____ overload problem because it can't pump good enough. Does diastolic or systolic dysfunction unction occur? Since the cardiac output is inadequate, congestion develops ____ the failing ventricles.

Acute decompensated


Fluid volume overload


Both


Behind

Left sided HF is typically due to damage to the ____. This results in _____ congestion and ____ pulmonary pressure.

Myocardium


Pulmonary


Increased

The signs and symptoms for left sided HF are

P. 248

Right sided HF signs and symptoms are

P. 248

Right sided HF typically follows left sided HF due to ____ pressure, resulting in systemic congestion.

Pulmonary

Causes of HF are

P. 249

As the heart fails the body compensates in an attempt to maintain ____. This delays having early symptoms of HF. Eventually this causes further damage and worsens HF.

Cardiac output

Three components of compensation are

1. chronotropic force


2. Inotropic force


3. Ventricular dilatation with thinning walls

Three components of compensation are

1. chronotropic force


2. Inotropic force


3. Ventricular dilatation with thinning walls

Chronotropic force is

Increased heart rate

Three components of compensation are

1. chronotropic force


2. Inotropic force


3. Ventricular dilatation with thinning walls

Chronotropic force is

Increased heart rate

Inotropic force is

Hypertrophy of the heart walls that enables the heart to contract with more force. This leads to create myocardial oxygen demand leading to further deterioration.

As a result of HF to empty the venous system and pump it into arterial system, these complications may arise. Increased left and right verticular _____. Elevated systemic and ____ pressure. ____ cardiac output.

Pressure


Pulmonary


Decreased

Treatment of HF

Back (Definition)

With HF we will see this in an echo. _____ left and right ventricular function.____ left and right ventricular size. We may detect other underlying causes or associated causes of HF such as valve disease, cardiomyopathy, myocarditis, CAD, tamponade, constrictive pericarditis, atrial or septal defect.

Decreased


Increased

With Doppler we elavuate valvular disease of present and evaluate _____ function.

Diastolic

Cardiac Cath is when they insert a catheter into an ______or____ into the patients arm neck or groin.

Artery or vein