Heart Failure and Cardiomyopathies
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Questions and Answers

Which demographic group is more prone to diastolic heart failure?

  • Middle-aged men
  • Young males
  • Adolescent females
  • Elderly women (correct)

What is the main mechanism of diastolic heart failure? (2 answers)

  • SNS activation
  • Decreased distensibility of the ventricle (correct)
  • Chronic volume overload
  • Impaired relaxation due to increased Ca++ uptake

Which of the following symptoms is associated with left heart failure?

  • Orthopnea (correct)
  • Hepatomegaly
  • JVD
  • Peripheral edema

What is the effect of sympathetic stimulation in systolic heart failure?

<p>Increased contractility (C)</p> Signup and view all the answers

Which compensatory mechanism shifts venous blood centrally in LV dysfunction?

<p>SNS activation (C)</p> Signup and view all the answers

What is the main effect of humoral-mediated response in LV dysfunction?

<p>Vasoconstriction (D)</p> Signup and view all the answers

Why is controlling heart rate important in diastolic heart failure?

<p>To prevent decreased ventricular filling (B)</p> Signup and view all the answers

Which class of the New York Heart Association classification system would a patient belong to if they have symptoms with ordinary exertion?

<p>Class II (A)</p> Signup and view all the answers

What is the primary pathophysiologic change leading to the development and progression of heart failure?

<p>Myocardial remodeling (B)</p> Signup and view all the answers

Which lifestyle modification is NOT recommended for preventing the progression of heart failure?

<p>Daily alcohol consumption (C)</p> Signup and view all the answers

Which medication is used when patients remain symptomatic despite ACE Inhibitors, beta-blockers, and diuretics?

<p>Digitalis (B)</p> Signup and view all the answers

Which class of drugs promotes vasodilation, reduces salt and water reabsorption, and decreases ventricular remodeling in heart failure?

<p>ACE Inhibitors (A)</p> Signup and view all the answers

Which drug class is responsible for blocking the AT1 receptor and breaking down ANP and BNP in heart failure management?

<p>Sacubitril/Valsartan (A)</p> Signup and view all the answers

Which condition is NOT a predictor of poor prognosis in heart failure?

<p>Normal exercise tolerance (D)</p> Signup and view all the answers

What is the main pathophysiological feature of dilated cardiomyopathy?

<p>Systolic dysfunction (A)</p> Signup and view all the answers

Which cardiomyopathy presents with myocardial infiltration leading to increased ventricular stiffness and decreased diastolic function?

<p><strong>Restrictive cardiomyopathy</strong> (B)</p> Signup and view all the answers

'TandemHeart' and 'Impella' are examples of what type of devices in heart failure management?

<p><strong>Mechanical assist devices</strong> (D)</p> Signup and view all the answers

'Peripartum cardiomyopathy' typically occurs during which period of time?

<p><strong>From 3rd trimester to ~ 5 months postpartum</strong> (B)</p> Signup and view all the answers

Which of the following lifestyle modifications is NOT recommended in preventing or delaying the progression of heart failure?

<p>Maintaining a high-sodium diet (D)</p> Signup and view all the answers

Dilated cardiomyopathy is characterized by biventricular dilation and diastolic dysfunction.

<p>False (B)</p> Signup and view all the answers

Hypertrophic cardiomyopathy commonly presents with right ventricular outflow tract obstruction.

<p>False (B)</p> Signup and view all the answers

Restrictive cardiomyopathy is characterized by decreased ventricular compliance and diastolic dysfunction.

<p>True (A)</p> Signup and view all the answers

Takotsubo cardiomyopathy is stress-related and predominantly affects males.

<p>False (B)</p> Signup and view all the answers

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