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6 Cards in this Set
- Front
- Back
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When to Discontinue
ACE I in CHF? |
Hyperkalemia > 5.5
Creatinine increase by > 30% from baseline for 4 weeks from initiation, even after dose reduction, after r/o other causes (NSAIDS, R artery ste) |
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When to Use Spironolactone in CHF?
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NYHA III-IV & EF <= 35%
Post MI, EF <=40% |
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Medications proven to decrease
mortality in HF? |
ACEI, ARB, Hydralazine + Nitrates
B-blocker Spironolactone |
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What medication is given to systolic HF, regardless of EF, fxnl status, barring contraindications (including hyperkalemia, acute renal failure, or history of angioedema)?
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ACE Inhibitors
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Requirements for starting Spironolactone TX
in CHF |
LV EF ≤35%
Creatinine ≤2.5 mg/dL Potassium ≤5 meq/L |
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Indications for Biventricular
Pacemaker in HF? |
QRS Prolongation
LVEF < 35% NYHA III-IV |
