13th OCT Teaching
-
Upload
sopoline-castro -
Category
Documents
-
view
14 -
download
1
description
Transcript of 13th OCT Teaching
![Page 1: 13th OCT Teaching](https://reader036.fdocuments.in/reader036/viewer/2022062517/56813644550346895d9dbe21/html5/thumbnails/1.jpg)
13th OCT Teaching Nisha Talwar FY2
![Page 2: 13th OCT Teaching](https://reader036.fdocuments.in/reader036/viewer/2022062517/56813644550346895d9dbe21/html5/thumbnails/2.jpg)
FAILURE
![Page 3: 13th OCT Teaching](https://reader036.fdocuments.in/reader036/viewer/2022062517/56813644550346895d9dbe21/html5/thumbnails/3.jpg)
LEFT
RIGHT
![Page 4: 13th OCT Teaching](https://reader036.fdocuments.in/reader036/viewer/2022062517/56813644550346895d9dbe21/html5/thumbnails/4.jpg)
Chronic activation of RAAS and adrengic systems results in a
vicious cycle that further exacerbates
physiological response
![Page 5: 13th OCT Teaching](https://reader036.fdocuments.in/reader036/viewer/2022062517/56813644550346895d9dbe21/html5/thumbnails/5.jpg)
Causes
Left
IHD
Dilated cardimyopathy
Hypertension
Valve disease Mitral/aortic
Right
Chronic lung disease
PE
Pulmomary hypertension
Valve disease Triscupid/pulmonary
Congential heart disease ASD/VSD
![Page 6: 13th OCT Teaching](https://reader036.fdocuments.in/reader036/viewer/2022062517/56813644550346895d9dbe21/html5/thumbnails/6.jpg)
Diagnosis
Need to do history and examination
Cardiac dysfunction must be demonstrated
Investigations Bloods CXR ECG ECHO
Need to treat underlying cause!!
![Page 7: 13th OCT Teaching](https://reader036.fdocuments.in/reader036/viewer/2022062517/56813644550346895d9dbe21/html5/thumbnails/7.jpg)
Classifciation - NYHA
![Page 8: 13th OCT Teaching](https://reader036.fdocuments.in/reader036/viewer/2022062517/56813644550346895d9dbe21/html5/thumbnails/8.jpg)
Typical CXR
![Page 9: 13th OCT Teaching](https://reader036.fdocuments.in/reader036/viewer/2022062517/56813644550346895d9dbe21/html5/thumbnails/9.jpg)
Management
General
Medical
Non pharmacological
![Page 10: 13th OCT Teaching](https://reader036.fdocuments.in/reader036/viewer/2022062517/56813644550346895d9dbe21/html5/thumbnails/10.jpg)
Management
Diurecti
cs
ACE inhibitors B- blockers
Aldosterone
antagonists
Intropes Nitrates
![Page 11: 13th OCT Teaching](https://reader036.fdocuments.in/reader036/viewer/2022062517/56813644550346895d9dbe21/html5/thumbnails/11.jpg)
Non Pharmacological
Revascuarization CABG or angioplasty
Cardiac resynchronisation therapy Biventricaular pacemaker or ICD
Valve replacement
Cardiac Transplantation
LVAD (left ventricular assist device) and artificial heart
![Page 12: 13th OCT Teaching](https://reader036.fdocuments.in/reader036/viewer/2022062517/56813644550346895d9dbe21/html5/thumbnails/12.jpg)
Home with a happy heart !