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13th OCT Teaching

13th OCT Teaching. Nisha Talwar FY2. FAILURE. LEFT. RIGHT. CCF. Chronic activation of RAAS and adrengic systems results in a vicious cycle that further exacerbates physiological response. Causes. Left. Right. Chronic lung disease PE Pulmomary hypertension Valve disease

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13th OCT Teaching

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  1. 13th OCT Teaching Nisha Talwar FY2

  2. FAILURE

  3. LEFT RIGHT CCF

  4. Chronic activation of RAAS and adrengic systems results in a vicious cycle that further exacerbates physiological response

  5. Causes Left Right Chronic lung disease PE Pulmomary hypertension Valve disease Triscupid/pulmonary Congential heart disease ASD/VSD • IHD • Dilated cardimyopathy • Hypertension • Valve disease • Mitral/aortic

  6. Diagnosis • Need to do history and examination • Cardiac dysfunction must be demonstrated • Investigations • Bloods • CXR • ECG • ECHO • Need to treat underlying cause!!

  7. Classifciation - NYHA

  8. Typical CXR

  9. Management General Medical Non pharmacological

  10. Management ACE inhibitors Diurectics Aldosterone antagonists B- blockers Intropes Nitrates

  11. 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

  12. Home with a happy heart !

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