and Morag Sime Aim Know the difference between left and right heart failure Be able to take a history specific to heart failure Understand how to investigate heart failure Know how to ID: 797232
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Slide1
Heart Failure
Chloe Hymers and Morag Sime
Slide2Aim
Know the difference between left and right heart failureBe able to take a history specific to heart failureUnderstand how to investigate
heart failure
Know how to
manage
acute heart failure
Slide3Objectives (from your syllabus)
Recognise left and right heart failure from the history and physical examination and relate them to underlying pathophysiological changes.Recognise the role of radiography, ECG and echo in the diagnosis of heart failureInitiate management of patients with heart failure by the appropriate use of diuretics, vasodilators and inotropes and monitor the response.
Slide4Pathophysiology
DefinitionLeft and right heart failureCauses
Slide5Causes
Alcoholic cardiomyopathyInfectiveCancer treatmentCoronary heart diseaseHypertension
Anaemia
Hyperthyroidism
Atrial fibrillation
Congenital
Valvular
heart disease
Slide6History
What symptoms?How would you ask the patient?
Slide7Examination
What signs may be present?
Slide8Investigations
Bedside testsBloodsImagingSpecial tests
Slide9CXR findings
A- alveolar oedemaB- Kerley B linesC-
cardiomegaly
D- diversion to the upper lobes
E- pleural effusion (bilateral)/pulmonary oedema
Slide10A
Slide11B
Slide12C
Slide13D
Slide14E
Slide15Management- chronic
ConservativeMedical Surgical
Slide16Management- acute
ABCSit upFurosemideGTN infusion
Slide17Case study
61 year old man 3 month history of malaise, SOB and ankle swelling. Short of breath walking up stairs. PMH- hypertension, MI, smoked 40 cigarettes for 40 years.
Slide18Questions
Differential diagnosisHeart failureCOPDLung cancer
Angina
PE
Explain cardiac rehabilitation
Slide19As an F1…….
Most important thing is initial management in A and E and flash pulmonary oedemaAKI vs Pulmonary oedema always a problem
Slide20Questions