13th OCT Teaching Nisha Talwar FY2

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

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

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

Classifciation - NYHA

Typical CXR

Management  General  Medical  Non pharmacological

Management

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

Home with a happy heart !