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Heart Failure with Preserved Ejection Fraction: Management Principles

General Therapeutic Principles:
Reduce the congestive state 
 - Caution
- May mimic HF ... hypertension, pulmonary ... #Management #Cardiology ... #HFpEF #dCHF #Diastolic ... #Treatment #HeartFailure
Serious Bacterial Illness (SBI):
1) UTI and pyelonephritis
Most common cause of SBI
Accounts for 3-8% of uncharacterized fevers
Female
Consider BCx, CSF ... evaluation as 5 ... diagnosed with CXR ... SeriousBacterialIllness #Ddxof
Right-Sided Heart Failure - Differential Diagnosis Algorithm
Cardiac Causes - Rule out Left-Sided Heart Failure (Most Common):
Valves • Pulmonary ... • Primary Pulmonary ... Veno-Occlusive Disease #RHF ... #RightSided #HeartFailure ... #Cardiology #Differential
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Management Checklist Evaluation ... in cardiogenic pulmonary ... #Checklist #CHF ... #Cardiogenic #HeartFailure ... #Cardiology #Management
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
standing erect, the pulmonary ... The pulmonary vascular ... during a period of CHF ... #Clinical #Radiology ... #CXR #CHF #Cephalization
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
81% for acute HF ... 5 pts w/ acute HF ... → no signs of CXR ... Jcortesizaguirr #HFrEF #heartfailure ... diagnosis #management #cardiology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
are excellent at evaluating ... with presence of pulmonary ... algorithm #management #cardiology ... table #foamed #heartfailure ... #chf #criticalcare
On the left another patient with alveolar edema at admission, which resolved after treatment.
When you scroll
distribution of pulmonary ... #Clinical #Radiology ... #CXR #CHF #Alveolar ... #Pulmonary #Edema
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Preoperative Risk Evaluation ... murmur 3/6) - Pulmonary ... disease b) CHF ... days before Pulmonary ... one post op Cardiology
On the left a patient with CHF. 
There is an increase in heart size compared to
a patient with CHF ... Other signs of CHF ... redistribution of pulmonary ... #Clinical #Radiology ... #CXR #CHF #Exacerbation