NSG 555 Quiz 2 Module 5 CV Part 2 HF, Murmurs,
Endo/Myocarditis, Lipids, Metabolic Syndrome –
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Terms in this set (73)
clinical syndrome defined by: any structural or
HF definition functional impairment of ventricular filling or ejection of
blood
stage A- cardiac structure abnormalities but no
symptoms. goal: reduce risk
stage B-increased filling pressures, persistently elevated
troponin without dx or increased BNP
Stages of heart failure stage C-Structural heart disease with current or
previous symptoms of HF.
stage D- Marked HF symptoms that interfere with daily
life and with recurrent hospitalizations despite attempts
to optimize GDMT.
ischemic heart disease and myocardial infarction (MI),
most common causes of HF
hypertension, and valvular heart disease (VHD
clinicians should seek the cause of HF because
approach to HF
appropriate treatment may be determined by the cause
presence of jugular venous distention, orthopnea,
assessing clinical s/s of
bendopnea, a square-wave response to the Valsalva
congestion in HF
maneuver, and leg edema
complete blood count, urinalysis, serum electrolytes
(including sodium, potassium, calcium, and magnesium),
blood urea nitrogen, serum creatinine, glucose, fasting
lab studies for heart failure
lipid profile, liver function tests, iron studies (serum iron,
ferritin, transferrin saturation), and thyroid-stimulating
hormone level and electrocardiography
, comprehensive TTE is the most useful initial diagnostic
test given the vast amount of diagnostic and prognostic
imaging recommendations
information provided. The determination of LVEF is a
for HF
fundamental step to classify HF and to guide evidence-
based pharmacological and device-based therapy
CPET and the 6-minute walk test are standardized,
reliable, and reproducible tests to quantify functional
capacity.19-22 The NYHA functional classification can be
exercise tolerance testing
used to grade the severity of functional limitation based
in HF
on patient report of symptoms experienced with
activity1 and is used to define candidates for certain
treatments.
patients who are at high risk for developing heart failure
but have no structural abnormalities
BP <130/80
Stage A heart failure
diet
management
exercise
weight loss
stop smoking
If diabetics SGLT2 (flozin) or GLP-1 (tide)
pre-HF (increased filling pressures, persistently elevated
troponin without dx or increased BNP)
Start ACEI or ARB if LVEF <40
BB if LVEF <40 and hx CAD or MI (some also say just
Stage B heart failure
start these anyway)
management
ICD if LVEF <30
Statin if indicated
NO CCBs OR TZDs !!!!
ACE/ARB
Stage C and D SGLT2 if dbtc or GLP-1
management BB
Diuretic if needed (spironolactone)
Endo/Myocarditis, Lipids, Metabolic Syndrome –
Questions With A+ Solutions
Save
Terms in this set (73)
clinical syndrome defined by: any structural or
HF definition functional impairment of ventricular filling or ejection of
blood
stage A- cardiac structure abnormalities but no
symptoms. goal: reduce risk
stage B-increased filling pressures, persistently elevated
troponin without dx or increased BNP
Stages of heart failure stage C-Structural heart disease with current or
previous symptoms of HF.
stage D- Marked HF symptoms that interfere with daily
life and with recurrent hospitalizations despite attempts
to optimize GDMT.
ischemic heart disease and myocardial infarction (MI),
most common causes of HF
hypertension, and valvular heart disease (VHD
clinicians should seek the cause of HF because
approach to HF
appropriate treatment may be determined by the cause
presence of jugular venous distention, orthopnea,
assessing clinical s/s of
bendopnea, a square-wave response to the Valsalva
congestion in HF
maneuver, and leg edema
complete blood count, urinalysis, serum electrolytes
(including sodium, potassium, calcium, and magnesium),
blood urea nitrogen, serum creatinine, glucose, fasting
lab studies for heart failure
lipid profile, liver function tests, iron studies (serum iron,
ferritin, transferrin saturation), and thyroid-stimulating
hormone level and electrocardiography
, comprehensive TTE is the most useful initial diagnostic
test given the vast amount of diagnostic and prognostic
imaging recommendations
information provided. The determination of LVEF is a
for HF
fundamental step to classify HF and to guide evidence-
based pharmacological and device-based therapy
CPET and the 6-minute walk test are standardized,
reliable, and reproducible tests to quantify functional
capacity.19-22 The NYHA functional classification can be
exercise tolerance testing
used to grade the severity of functional limitation based
in HF
on patient report of symptoms experienced with
activity1 and is used to define candidates for certain
treatments.
patients who are at high risk for developing heart failure
but have no structural abnormalities
BP <130/80
Stage A heart failure
diet
management
exercise
weight loss
stop smoking
If diabetics SGLT2 (flozin) or GLP-1 (tide)
pre-HF (increased filling pressures, persistently elevated
troponin without dx or increased BNP)
Start ACEI or ARB if LVEF <40
BB if LVEF <40 and hx CAD or MI (some also say just
Stage B heart failure
start these anyway)
management
ICD if LVEF <30
Statin if indicated
NO CCBs OR TZDs !!!!
ACE/ARB
Stage C and D SGLT2 if dbtc or GLP-1
management BB
Diuretic if needed (spironolactone)
