Heart Failure Overview Quiz

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Questions and Answers

What is the primary issue in heart failure that affects the heart's ability to pump blood?

  • Overactive immune response
  • Increased heart rate excessively
  • Inadequate ability to contract and relax (correct)
  • Excessive oxygen delivery to tissues

Which condition is often a long-term effect that can lead to heart failure?

  • Acute respiratory distress syndrome
  • Chronic kidney disease
  • Pulmonary hypertension
  • Coronary heart disease (correct)

What compensatory mechanism does the body activate in response to decreased cardiac output (CO) in heart failure?

  • Increased vascular congestion (correct)
  • Enhanced oxygen utilization by tissues
  • Diminished blood pressure regulation
  • Decreased blood flow to vital organs

Which condition may result in heart failure without any prior history of abnormal myocardial function?

<p>Massive pulmonary embolus (A)</p> Signup and view all the answers

Which of the following factors can result in damage to the heart muscle, potentially leading to heart failure?

<p>Chronic high blood pressure (D)</p> Signup and view all the answers

How does very rapid tachycardia affect cardiac output (CO)?

<p>It decreases CO due to reduced stroke volume. (D)</p> Signup and view all the answers

What is considered a normal range for ejection fraction?

<p>50–70% (D)</p> Signup and view all the answers

Which of the following is NOT a determinant of stroke volume?

<p>Heart rate (C)</p> Signup and view all the answers

What primary compensatory mechanism is associated with heart failure?

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

What is the relationship between cardiac output (CO) and stroke volume (SV) in heart failure?

<p>Both CO and SV decrease. (D)</p> Signup and view all the answers

Which of the following conditions is NOT listed as a cause of impaired myocardial function?

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

What is the primary concern of acute pulmonary edema in heart failure?

<p>Abnormal fluid accumulation in the lungs (B)</p> Signup and view all the answers

Which factor primarily influences heart rate during times of stress?

<p>Autonomic nervous system (A)</p> Signup and view all the answers

How does hyperthyroidism contribute to heart failure?

<p>By causing an overload of blood volume (C)</p> Signup and view all the answers

Which of the following describes the term 'cardiac reserve'?

<p>The heart's ability to increase cardiac output in response to increased demand (C)</p> Signup and view all the answers

Which condition is directly associated with increased cardiac workload?

<p>Congenital heart defects (C)</p> Signup and view all the answers

Which of the following is a sign of severe cardiac decompensation?

<p>Cardiogenic pulmonary edema (D)</p> Signup and view all the answers

What role do catecholamines play in heart function during stress?

<p>They enhance heart rate and increase stroke volume (D)</p> Signup and view all the answers

Flashcards

Heart Failure (HF)

A condition where the heart cannot pump enough blood to meet the body's needs.

Causes of HF

Often a combination of weakened heart contractions and relaxation, impacting blood flow. It can stem from various conditions like coronary heart disease, myocardial infarction, and cardiomyopathy.

Compensatory Mechanisms

Body's initial response to reduced blood flow (CO) trying to restore it. These lead to fluid buildup.

Congestive Heart Failure

Heart failure resulting from the body's compensatory mechanisms causing fluid buildup in the vessels.

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Progressive Condition

HF gets worse over time as the heart muscle weakens further, leading to increased health risks.

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Heart Failure Causes

Conditions affecting myocardial function and cardiac workload, or acute non-cardiac factors, like volume overload or infection, can lead to heart failure.

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Impaired Myocardial Function

Problems with the heart muscle's ability to pump blood effectively.

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Increased Cardiac Workload

Conditions that make the heart work harder to pump blood, such as high blood pressure or valve problems.

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Cardiac Output (CO)

The amount of blood pumped by the heart in one minute.

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Cardiac Reserve

The heart's ability to increase its pumping action when tissue oxygen demand goes up.

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Pulmonary Edema

Fluid buildup in lung tissue, a common heart failure complication.

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Cardiogenic Pulmonary Edema

Fluid buildup in lungs due to severely decompensated heart.

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Stroke Volume

Amount of blood ejected per contraction of the heart's ventricles.

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Tachycardia effect on CO

Rapid heart rate (tachycardia) shortens the time for the ventricles to fill with blood, which decreases stroke volume (SV) and ultimately reduces cardiac output (CO).

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Bradycardia effect on CO

Slow heart rate (bradycardia) can also reduce cardiac output (CO) because it decreases the volume of blood pumped out per minute.

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Stroke Volume (SV) Determinants

Stroke volume (SV) depends on preload, afterload, and myocardial contractility.

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Normal Ejection Fraction (EF)

A normal ejection fraction (EF) is between 50% and 70%.

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Heart Failure Effect on CO & EF

When the heart fails, cardiac output (CO) and ejection fraction (EF) both decrease.

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