Heart Failure

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What is the result of increased [Ca2+]i in the heart?

Coupled beats, followed by ventricular tachycardia, and eventually ventricular fibrillation

What is the most common site of digitalis toxicity outside the heart?

Gastrointestinal tract

What is the cause of anorexia, nausea, vomiting, and diarrhea in digitalis toxicity?

Both direct effects on the gastrointestinal tract and CNS actions

What is the effect of digitalis on the CNS?

Both vagal and chemoreceptor trigger zone stimulation

What is a rare effect reported in men taking digitalis?

Gynecomastia

What is the immediate effect of increased [Ca2+]i on the heart rhythm?

Coupled beats (bigeminy)

What is the effect of digitalis toxicity on the heart?

Abnormal heart rhythms, including ventricular tachycardia and fibrillation

What is the cause of visual disturbances in digitalis toxicity?

CNS actions

What is a common symptom of digitalis toxicity in the elderly?

Disorientation and hallucinations

What type of tissues are affected by cardiac glycosides?

All excitable tissues, including smooth muscle and the CNS

Test your knowledge of heart failure, its causes, types, and consequences. Learn about the mortality rate, common causes, and differences in systolic and diastolic failure.

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