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Heart Failure 2
Treatment of Heart Failure
question | answer |
---|---|
Goals for management of CHF. | Improve pumping capability of heart. reduce myocardial workload by decreasing preload and afterload. Decrease remodeling Decrease neurohormonal endocrine activity. (RAS, BNP, SNS) |
Drugs used to decrease workload of the heart. | Afterload/Preload reducing agents. |
How do afterload reducing agents work to manage heart failure? | dilates aorta and systemic circulation; causes venous pooling which decrease blood return to heart and decrease workload of the heart. |
What is the main side effect of afterload reducing agents. | Dependent edema, d/t venous pooling |
Do afterload reducing agents vasoconstrict arteries or veins? | Both, none are pure arterial or venous dilators |