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Heart Failure

Horizontales
Exertional dyspnea/ intolerance, pulmonary congestion, ventricular enlargement
EF at more than 40 percent, abnormal diastolic dysfunction, HCM
Water and Sodium Retention; Butterfly distribution
Measured at 30 degree angle
Moderate, disappears in 1-15 seconds
Impairment of ventricular filling; cardinal clinical symptoms: dyspnea and fatigue
Unrelieved with change in position
Risk of ACE-I in patients with DM or elderly
Sudden cardiac death, Impaired relaxation
MCC of Right Side Heart Failure
Adverse effect of headaches and hypotension
Seen in R sided HF with hepatomegaly
Pressure against heart pumps against to eject blood, SVR
Consists of B/L peripheral edema, Hepatomegaly, nocturnal cough
Verticales
Severe limitation, symptoms of HF event while at rest
Hormone increased with myocardial strain/ dysfunction
Consists of PND, Orthopnea, rales, and S3
Bridge to Transplant therapy
Have to monitor daily weight
Ventricular wall tension at the end of diastole
Late Stage HF symptom
Pattern of apneic breathing with normal respiration
Belongs to class that inhibits RAAS system; treatment of LV dysfunction after infarct, vasodilatory, first-line HF treatment
ACE-I, adverse effect, angioedema
Increase sodium and water excretion; have to monitor K+ levels, consider supplementation
Major RF for HF
Mild/slight limitation, symptoms with ordinary activities