1. 13th OCT Teaching Nisha Talwar FY2

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

5. 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

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

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 !