Sandbox:chf: Difference between revisions
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|Elevated JVP, pericardial knock, kussmaul's sign, pulsus paradoxus, | |Elevated JVP, pericardial knock, kussmaul's sign, pulsus paradoxus, | ||
|<nowiki>-</nowiki> | |<nowiki>-</nowiki> | ||
|Echocardiography | |Echocardiography, ECG | ||
|Diuretics, pericardiectomy | |Diuretics, pericardiectomy | ||
|- | |- | ||
|Hypertrophic cardiomyopathy | |[[Hypertrophic cardiomyopathy]] | ||
| | |Dyspnea, chest pain, palpitation, lightheadedness | ||
| | |Systolic murmur | ||
| | |<nowiki>-</nowiki> | ||
| | |Echocardiography, ECG | ||
| | |Beta blockers, verapamil | ||
|- | |- | ||
|Valvular disease | |Valvular disease ([[Mitral regurgitation|MR]], [[Tricuspid regurgitation|TR]]) | ||
| | |Edema, fatigue, exercise intolerance, dyspnea, lightheadedness | ||
| | |Cardiac murmur | ||
| | | - | ||
| | |Echocardiography, ECG | ||
| | | | ||
|- | |- | ||
Revision as of 20:56, 15 November 2016
chf
| Disease | Symptoms | Signs | Laboratory findings | Diagnostic modality | Management | |
|---|---|---|---|---|---|---|
| Cardiac | HFpEF | Exertional dyspnea, reduced exercise tolerance, orthopnea, paroxysmal nocturnal dyspnea, edema | Elevated JVP, fine crackles, edema | Increased BNP | Echocardiography (normal EF) | Control of volume overload and hypertension,
treatment of underlying condition (obesity, AF, coronary artery disease, anemia) |
| HFrEF | Exertional dyspnea, reduced exercise tolerance, orthopnea, paroxysmal nocturnal dyspnea, edema | Elevated JVP, fine crackles, edema | Increased BNP | Echocardiography (reduced EF) | Diuretics, ACE inhibitors, ARBs, beta blockers, nitrates | |
| Pericardial disease | Exercise intolerance, dyspnea, fatigue, | Elevated JVP, pericardial knock, kussmaul's sign, pulsus paradoxus, | - | Echocardiography, ECG | Diuretics, pericardiectomy | |
| Hypertrophic cardiomyopathy | Dyspnea, chest pain, palpitation, lightheadedness | Systolic murmur | - | Echocardiography, ECG | Beta blockers, verapamil | |
| Valvular disease (MR, TR) | Edema, fatigue, exercise intolerance, dyspnea, lightheadedness | Cardiac murmur | - | Echocardiography, ECG | ||
| Arrhythmia | ||||||
| Pulmonary | Chronic airway disease | |||||
| Interstitial lung diseaee | ||||||
| Chronic thromboembolic disease | ||||||
| Sleep apnea | ||||||
| High output status | Anemia | |||||
| Thyrotoxicosis | ||||||
| Others | Liver disease | |||||
| Chronic kidney disease |