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Congestive Heart Failure M Chadi Alraies Thursday, January 3, 2008
Essentials of Diagnosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Types ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pathophysiology ,[object Object],[object Object],[object Object],[object Object]
Cardiac contractility (pump)‏ ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Increased preload ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Increased afterload ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Conduction system ,[object Object],[object Object]
Pathophysiology  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The renin–angiotensin–aldosterone system  ,[object Object],[object Object],[object Object],[object Object]
Remodeling ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Causes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Stages of HF
 
Stages of Heart Failure and Treatment Options for Systolic Heart Failure.
Symptoms ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Exacerbations  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
New York Heart Association classification  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Signs ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Lab ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Brain natriuretic peptide ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CARDIAC CATHETERIZATION ,[object Object],[object Object],[object Object],[object Object]
Treatment
Primary Targets of Treatment in Heart Failure
Pharmacologic Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Diuretic therapy
Thiazides  ,[object Object],[object Object],[object Object]
Loop diuretics ,[object Object],[object Object],[object Object],[object Object]
Potassium sparing diurestics ,[object Object],[object Object]
INHIBITORS OF THE  RENIN–ANGIOTENSIN–ALDOSTERONE  SYSTEM
Why ACEI? ,[object Object],[object Object],[object Object],[object Object]
Why ACEI? ,[object Object],[object Object],[object Object],[object Object],[object Object]
Dosing ACEI ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ARB’s ,[object Object],[object Object]
Spironolactone ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
BB
BB ,[object Object],[object Object]
BB ,[object Object],[object Object]
BB Start low and go slow
How to monitor BB? ,[object Object],[object Object],[object Object],[object Object]
DIGITALIS GLYCOSIDES ,[object Object],[object Object],[object Object],[object Object]
Vasodilators
Nitrates and Hydralazine ,[object Object],[object Object]
IV Nitrates ,[object Object]
Nesiritide ,[object Object]
POSITIVE INOTROPIC AGENTS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CALCIUM CHANNEL BLOCKERS ,[object Object]
IMPLANTABLE CARDIOVERTER DEFIBRILLATORS ,[object Object],[object Object],[object Object],[object Object]
BIVENTRICULAR PACING (RESYNCHRONIZATION)‏ ,[object Object],[object Object],[object Object],[object Object]
CARDIAC TRANSPLANTATION ,[object Object]
Primary Targets of Treatment in Heart Failure
References ,[object Object],[object Object],THANK YOU

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