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Description : Overview of heart failure, including CHF with preserved and reduced ejection fraction.

Tags : CHF, heart failure, congestive heart failure

Published on : Mar 16, 2023 | Views : 1493 | Downloads : 8

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Stephen Fleet, M.D. March 15, 2023 HEART FAILURE
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WHAT IS HEART FAILURE?
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DEFINITION inability of the heart to keep up with the metabolic demands of the body. INABILITY OF HEART TO KEEP UP WITH THE METABOLIC DEMANDS OF THE BODY.
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chf Fluid builds up in the lungs because the heart cannot contract well enough or relax well enough to prevent backup of fluid.
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Poor cardiac contractionunable to maintain bp HYPOTENSION: BP less than approximately 90/60.
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Ejection fraction VOLUME OF BLOOD EJECTED _________________________ (DIVIDED BY) TOTAL VOLUME FROM THE LEFT VENTRICLE
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EXAMPLE 65 cc/ 100cc = 65%.
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Cardiac ouTput
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TWO BASIC TYPES OF HEART FAILURE
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CRITERIA
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SYSTOLIC VS DIASTOLIC
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SYSTOLIC VS DIASTOLIC
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SYSTOLIC DYSFUNCTION THE HEART IS UNABLE TO PUMP OUT ADEQUATE VOLUME.
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DIASTOLIC DYSFUNCTION
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CAUSES OF SYSTOLIC DYSFUNCTION
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CAUSES OF DIASTOLIC DYSFUNCTION
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Making the diagnosis
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echocardiogram
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MEDICAL TREATMENTSYSTOLIC
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MEDICAL TREATMENTDIASTOLIC
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IF CONCERNED ABOUT ISCHEMIA/CAD
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Nuclear stress test
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angiography
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IF CONCERNED ABOUT ARRHYTHMIAS
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FOR VALVE DISEASE
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tavr