, -normal ejection fraction - -55 - 60 % (blood pumped out with each
heartbeat)
-Ejection fraction of 50% - reduced or preserved? - -preserved
-Diastolic CHF - -preserved ejection fraction, problem is with filling
-Systolic CHF - -reduced ejection fraction, problem is with ejecting
-Left sided CHF - -pulmonary (JVD, fluid volume overload, rails, S-3
murmurs) ** #1 cause of Right sided CHF
-BNP - -gold standard lab test to diagnose CHF
-Echocardiogram - -Diagnostic tool, evaluates heart structure and function
-At Risk for HF - Stage A - -no structural heart disease or symptoms of heart
failure
-Stage A HF co-morbidities - -htn, atherosclerotic disease, diabetes,
metabolic syndrome, patients using cardiotoxins with family history
-Therapy goals of stage A HF - -treat htn, encourage smoking cessation,
encourage regular exercise, treat lipid disorders, discourage alcohol
intake/drug use, control metabolic syndrome
Meds: ACEI or Angiotensin II RB for vascular disease or diabetes (avapro,
losartan, benicar, diovan, etc)
-At Risk for HF - Stage B - -structural heart disease but no symptoms of
heart failure
-Stage B HF co-morbidities - -previous MI, LV remodeling with LV
hypertrophy and low EF, asymptomatic valvular disease
-Therapy goals of Stage B HF - -Meds: ACEI or ARB, Beta-blockers,
inplantable defibrillators
-Stage C heart failure - -structural heart disease with prior or current
symptoms of HF
-Presentation of Stage C HF - -known structural heart disease and shortness
of breath and fatigue, reduced exercise tolerance
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