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Heart Failure Mnemonics

By : Dr. Subrahmanyam Karuturi

 

> LVF, Management of FOAM
Frusemide 40mg iv, Oxygen, Atrovent (& Ventolin) nebs, Morphine 2.5 - 5 mg

 

> Shock HEN SCAM
Hypovolaemia, Endocrine (adrenal, thyroid), Neuropathic (autonomic)
Spinal cord injury/ Sepsis, Cardiac, anapyhlaxis/ anaesthesia, anti HPT, Massive PE

 

> ABCDE
Treatment of Heart Failure:
ACE inhibitors; Beta-blockers; Calcium channel blockers; Diuretics; Endothelin-converting enzyme inhibitors

 

> Please Read His Text
Signs of cor pulmonale:
Peripheral oedema, Raised JVP, Hepatomegaly, Tricuspid incompetence

 

> CHF: causes of exacerbation A SMITH PEAR:
Anemia
Salt/ Stress/ Stopping meds
MI
Infection/ Ischemia
Thyroid (high/low)
HTN
Pericarditis
Endocarditis (valve disease)
Arrhythmia
Rx (beta blocker, etc)

 

> Heart failure: signs TAPED TORCH:
Tachycardia
Ascites
Pulsus alternans
Elevated jugular venous pressure
Displaced apex beat
Third heart sound
Oedema
Right ventricular heave
Crepitations or wheeze
Hepatomegaly (tender)

 

> CHF: Left-sided systolic failure signs and symptoms "Left Systolic Failure Can Have Dialated Heart Cause Of Pulmpnary Backflow":
Loss of hair on legs
Skin cold and clammy
Fatigue
Crackles
High heart rate
Dyspnea
HTN
Cyanosis
Orthopnea
Pink Sputum

 

> Heart failure: causes HEART FAILED:
Hypertension
Endocrine
Anemia
Rheumatic heart disease
Toxins
Failure to take meds
Arrythmia
Infection
Lung (PE, pneumonia)
Electrolytes
Diet

 

> CHF: causes of exacerbation FAILURE:
Forgot medication
Arrhythmia/ Anaemia
Ischemia/ Infarction/ Infection
Lifestyle: taken too much salt
Upregulation of CO: pregnancy, hyperthyroidism
Renal failure
Embolism: pulmonary

 

> Heart compensatory mechanisms that 'save' organ blood flow during shock "Heart SAVER":
Symphatoadrenal system
Atrial natriuretic factor
Vasopressin
Endogenous digitalis-like factor
Renin-angiotensin-aldosterone system
· In all 5, system is activated/factor is released
 

 

> Heart failure causes "HEART MAy DIE":
Hypertension
Embolism
Anemia
Rheumatic heart disease
Thyrotoxicosis (incl. pregnancy)
Myocardial infarct
Arrythmia
Y
Diet & lifestyle
Infection
Endocarditis

 

> Shock: signs and symptoms TV SPARC CUBE:
Thirst
Vomiting
Sweating
Pulse weak
Anxious
Respirations shallow/rapid
Cool
Cyanotic
Unconscious
BP low
Eyes blank


 
 
> Acute LVF management LMNOP:
Lasex (frusemide)
Morphine (diamorphine)
Nitrates
Oxygen (sit patient up)
Pulmonary ventilation (if doing badly)

 

> Shock: general features CHORD ITEM:
Cold, clammy skin
Hypotension
Oliguria
Rapid, shallow breathing
Drowsiness, confusion
Irritability
Tachycardia
Elevated or reduced central venous pressure
Multi-organ damage

 

 

More Cardiology Mnemonics

 

Cardiac Anatomy Mnemonics Arrhythmias Mnemonics
Cardiac Embryology Mnemonics Valvular Heart Disease Mnemonics
Cardiac Physiology Mnemonics Cardiomyopathy Mnemonics
Cardiac Pharmacology Mnemonics Pericardial Diseases Mnemonics
Cardiac Physical Diagnosis Mnemonics Infective Endocarditis Mnemonics
ECG Mnemonics Hypertension Mnemonics
Atherosclerotic Cardiovascular Disease Mnemonics Deep Vein Thrombosis Mnemonics
Diseases of the Aorta Mnemonics Cardiac Rheumatology Mnemonics
Heart Failure Mnemonics Miscellaneous Cardiology Mnemonics
Congenital Heart Disease Mnemonics 

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