Causes and consequences of Heart Failure
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Questions and Answers

What is the primary cause of heart failure?

  • Hypertension
  • Coronary artery disease (correct)
  • Cardiomyopathy
  • Pericardial disease
  • Which factor determines cardiac oxygen demand?

  • Heart rate and stroke volume (correct)
  • Diastolic blood pressure
  • Systolic blood pressure
  • Ventricular ejection fraction
  • What happens in systolic heart failure?

  • The heart's main pumping chamber becomes stiff and unable to fill properly
  • The heart's main pumping chamber contracts vigorously
  • The heart's main pumping chamber cannot pump blood efficiently (correct)
  • The heart's main pumping chamber experiences reduced ejection fraction
  • What is preload in the context of heart failure?

    <p>The stretch of myocardium or end-diastolic volume of the ventricles</p> Signup and view all the answers

    Why is activation of the renin-angiotensin system an advantageous effect of SNS activation?

    <p>Allows the release of renin which converts angiotensin I to angiotensin II. Angiotensin II is a vasoconstrictor and stimulates the release of aldosterone. Aldosterone increases sodium retention and potassium loss</p> Signup and view all the answers

    Which treatment model emerged during the 1980s-2000s for heart failure?

    <p>Neurohormonal Model</p> Signup and view all the answers

    What is the primary goal of treatment in the Neurohormonal Model?

    <p>Prevention of progression with neurohormonal blockers</p> Signup and view all the answers

    In the Haemodynamic Model, what is the primary treatment goal for heart failure?

    <p>Stimulation of contractility</p> Signup and view all the answers

    Name two emerging therapies in the treatment of heart failure according to the Neurohormonal Model.

    <p>Resynchronization pacing and LV and RV assist devices.</p> Signup and view all the answers

    What are the primary drugs used in the prevention of progression in the Neurohormonal Model?

    <p>ACE inhibitors, beta adrenergic blockers, and aldosterone antagonists.</p> Signup and view all the answers

    Mention one passive restraining device used in the treatment of heart failure according to the Neurohormonal Model.

    <p>ACORN.</p> Signup and view all the answers

    What are the conventional drugs used in the treatment of heart failure according to the Haemodynamic Model?

    <p>Diuretics and digitalis.</p> Signup and view all the answers

    Why is cardiac stimulation a potentially advantageous effect of the SNS activation?

    <p>Increases heart rate (chronotropic effect) and increases the force of the contractions (inotropic effect). This leads to more blood being pumped which causes an increase in cardiac output.</p> Signup and view all the answers

    Why is cardiac stimulation a potentially advantageous effect of the SNS activation?

    <p>Increases heart rate (chronotropic effect) and increases the force of the contractions (inotropic effect). This leads to more blood being pumped which causes an increase in cardiac output.</p> Signup and view all the answers

    Diastolic refers to which phase of the heartbeat?

    <p>The phase when the heart muscle relaxes</p> Signup and view all the answers

    Systolic refers to which phase of the heartbeat?

    <p>The phase when the heart muscle contracts</p> Signup and view all the answers

    What happens in diastolic heart failure?

    <p>The heart's main pumping chamber becomes stiff and unable to fill properly</p> Signup and view all the answers

    Heart failure is best described as:

    <p>A syndrome</p> Signup and view all the answers

    Which of the following is not a cause of heart failure?

    <p>Diabetes mellitus</p> Signup and view all the answers

    Which adaptive mechanisms are involved in heart failure?

    <p>All of the above</p> Signup and view all the answers

    What is the Frank-Starling mechanism?

    <p>An intrinsic cardiac mechanism that adjusts contractility based on the amount of returning venous blood</p> Signup and view all the answers

    What happens when the myocyte is stretched in the Frank-Starling mechanism?

    <p>Force of contraction increases</p> Signup and view all the answers

    How does the Frank-Starling mechanism affect cardiac output?

    <p>It increases cardiac output</p> Signup and view all the answers

    What happens to the Frank-Starling mechanism in heart failure?

    <p>It becomes impaired</p> Signup and view all the answers

    What are the consequences of an impaired Frank-Starling mechanism in heart failure?

    <p>There is a decrease in cardiac output and an increase in symptoms.</p> Signup and view all the answers

    What is the major intrinsic cardiac mechanism that allows the heart to adapt to varying amounts of returning venous blood?

    <p>Frank-Starling Mechanism</p> Signup and view all the answers

    What happens when cardiac muscle is stretched an extra amount?

    <p>The muscle contracts with a greater force</p> Signup and view all the answers

    What term is used to describe the stretching of the cardiac muscle due to increased blood entering the ventricle?

    <p>Cardiac preload</p> Signup and view all the answers

    The physiologic basis for the Frank-Starling Mechanism is found in:

    <p>Length-tension relationship</p> Signup and view all the answers

    Inotropy refers to the contractility of the:

    <p>Ventricle</p> Signup and view all the answers

    Cardiac muscle can alter its intrinsic inotropic state. This means that it can:

    <p>Alter its contractility</p> Signup and view all the answers

    Changes in inotropy affect the rate of:

    <p>Force and pressure development</p> Signup and view all the answers

    Cellular mechanisms responsible for changes in inotropy involve:

    <p>Intracellular calcium flux</p> Signup and view all the answers

    Inotropic agents can influence inotropy. Which of the following is an example of an inotropic agent?

    <p>Adrenergic stimulation</p> Signup and view all the answers

    Name two factors that decrease Calcium viability.

    <p>Ca++ blocker and Electrolyte imbalance.</p> Signup and view all the answers

    What are the factors that can promote Calcium as a positive inotropic agent?

    <p>Noradrenaline and thyroid hormones</p> Signup and view all the answers

    Ventricular remodelling can occur over months and years in a proportion of patients. This remodelling is primarily characterized by:

    <p>Elongation of non-infarcted segments</p> Signup and view all the answers

    The adaptive response to ventricular remodelling eventually becomes a maladaptive process due to:

    <p>All of the above</p> Signup and view all the answers

    Which of the following is a contributing factor to the elongation of non-infarcted segments in ventricular remodelling?

    <p>Eccentric hypertrophy of the myocytes</p> Signup and view all the answers

    When LV dysfunction is present, adrenergic support is triggered to enable:

    <p>Cardiac stimulation</p> Signup and view all the answers

    The deleterious effects of SNS activation in the long-term include:

    <p>Adverse cardiac remodeling</p> Signup and view all the answers

    Plasma norepinephrine levels are high in heart failure and correlate with:

    <p>Poor prognosis</p> Signup and view all the answers

    What are the potentially advantageous effects of SNS activation?

    <p>Cardiac stimulation (chronotropic and inotropic effects), peripheral vasoconstriction, and activation of the renin-angiotensin system.</p> Signup and view all the answers

    What happens to beta receptors in the heart with constant stimulation?

    <p>They become down-regulated</p> Signup and view all the answers

    How does chronic arterial vasoconstriction affect cardiac remodeling?

    <p>Chronic arterial vasoconstriction increases myocardial workload and energy requirements, leading to adverse cardiac remodeling.</p> Signup and view all the answers

    What is the correlation between plasma norepinephrine levels and prognosis in heart failure?

    <p>The higher the plasma norepinephrine level, the worse the prognosis.</p> Signup and view all the answers

    Which of the following may be audible in heart failure?

    <p>Fourth heart sound</p> Signup and view all the answers

    Name two cardiac abnormalities that may be observed in heart failure.

    <p>Cardiomegaly, raised JVP (jugular venous pressure)</p> Signup and view all the answers

    What are two possible auscultatory findings in heart failure?

    <p>Third and fourth heart sound may be audible</p> Signup and view all the answers

    What is the term for difficulty in breathing experienced during physical activity in individuals with heart failure?

    <p>Dyspnoea on exertion</p> Signup and view all the answers

    Name one symptom of heart failure characterized by the swelling of the peripheral tissues.

    <p>Oedema (peripheral)</p> Signup and view all the answers

    What is the term for the enlargement of the heart often observed in individuals with heart failure?

    <p>Cardiomegaly</p> Signup and view all the answers

    Which term refers to the abnormal accumulation of fluid in the lungs due to heart failure?

    <p>Pulmonary venous hypertension</p> Signup and view all the answers

    Which of the following is a symptom/sign of heart failure specifically experienced when lying flat?

    <p>Orthopnoea</p> Signup and view all the answers

    Which treatment approach for heart failure was prominent during the 1950s-1980s?

    <p>Haemodynamic Model</p> Signup and view all the answers

    What is inotropy in the context of heart failure?

    <p>The contractility of the ventricle</p> Signup and view all the answers

    What is afterload in the context of heart failure?

    <p>The “load” against which the heart must contract to eject blood</p> Signup and view all the answers

    What are the potential effects of activation of the sympathetic nervous and renin-angiotensin-aldosterone systems in heart failure?

    <p>Cardiac stimulation and peripheral vasoconstriction</p> Signup and view all the answers

    What are some symptoms of heart failure?

    <p>Dyspnea on exertion, fatigue, orthopnea, cardiomegaly, oedema, pulmonary venous hypertension, raised JVP, and third or fourth heart sounds</p> Signup and view all the answers

    What is the NICE Pathway for Heart Failure?

    <p>Guidance for the treatment of heart failure</p> Signup and view all the answers

    What is heart failure?

    <p>A condition where the heart can't pump enough blood to meet the body's needs</p> Signup and view all the answers

    What is preload and afterload?

    <p>Preload is the stretch of myocardium or end-diastolic volume of the ventricles, while afterload is the force opposing fiber shortening during ventricular ejection</p> Signup and view all the answers

    What are symptoms of heart failure?

    <p>Shortness of breath, fatigue, and chest pain</p> Signup and view all the answers

    What are the neurohumoral mechanisms that can have potentially advantageous effects in heart failure?

    <p>Activation of the sympathetic nervous and renin-angiotensin-aldosterone systems</p> Signup and view all the answers

    What are the treatment options for heart failure?

    <p>Lifestyle changes, medication, and surgery</p> Signup and view all the answers

    Study Notes

    Causes and Consequences of Heart Failure

    • Heart failure is a syndrome where an abnormality of cardiac function causes the inability of the heart to pump blood at an output sufficient to meet the requirements of metabolizing tissues.
    • Heart failure is always secondary to something else, such as coronary artery disease, hypertension, cardiomyopathy, valvular heart disease, or pericardial disease.
    • Preload is the stretch of myocardium or end-diastolic volume of the ventricles, while afterload is the force opposing fiber shortening during ventricular ejection.
    • The Frank-Starling mechanism is the major intrinsic cardiac mechanism by which the heart can adapt to varying amounts of returning venous blood.
    • Inotropy refers to the contractility of the ventricle, and changes in inotropy alter the rate of force and pressure development by the ventricle.
    • Afterload is the “load” against which the heart must contract to eject blood, and a major component of it is the aortic pressure.
    • Progressive remodeling can occur over months and years leading to maladaptive processes, such as elongation due to eccentric hypertrophy of the myocytes, myocyte slippage, collagen matrix reorganization, and apoptosis.
    • Activation of the sympathetic nervous and renin-angiotensin-aldosterone systems are neurohumoral mechanisms that can have potentially advantageous effects, such as cardiac stimulation and peripheral vasoconstriction, but also deleterious effects in the long-term.
    • Symptoms of heart failure include dyspnea on exertion, fatigue, orthopnea, cardiomegaly, oedema, pulmonary venous hypertension, raised JVP, and third or fourth heart sounds.
    • The NICE Pathway for Heart Failure provides guidance for the treatment of heart failure.
    • Treatment options for heart failure include lifestyle changes, medication, devices, and surgery, depending on the severity and underlying cause of the condition.
    • Heart failure affects a significant number of people, with 920,000 diagnosed cases in the UK, 60,000 new cases every year, and 4,000 deaths in the UK each year.

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    Description

    Test your knowledge on the causes and consequences of heart failure with this informative quiz. Learn about the different types of heart failure and the underlying conditions that can lead to it. Explore the mechanisms of the heart and the neurohumoral systems that are involved in the development of heart failure. Discover the symptoms of heart failure and the treatment options available. Challenge yourself and expand your understanding of this prevalent condition.

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