WorksheetsCCF
Total questions: 5
Worksheet time: 10mins
Which of the following measures of cardiac function is not affected by preload?
Ejection fraction
End systolic volume
End systolic fractional shortening
Peak systolic pressure
Cardiac output
Which of the following is most suggestive of diastolic heart failure on transthoracic echocardiography?
Reduced fractional shortening
E/A ratio of < 1
Reduced mitral leaflet excursion
Left Ventricular dysfunction
Increased LVEDD
A patient with congestive cardiac failure with EF 35% is referred for medical optimisation. He is already on stable B-blocker therapy (carvedilol 25mg BD), there is no pulmonary congestion on examination. He has NYHA Class II symptoms. He is not currently taking ACE-inhibitor due to chronic cough. What is the next best therapy?
Atorvastatin
Candesartan
Digoxin
Frusemide
Spironolactone
Which of the following is a substrate for neprilysin, the neutral endopeptidase?
Angiotensinogen
Aldosterone
Renin
Bradykinin
Kallikrein
Which of the following is the strongest indication for the implantation of a biventricular pacemaker defibrillator in a patient with heart failure who survives an out‐of‐hospital arrest?
An ejection fraction of 20% on gated blood pool scan
QRS of 190ms on ECG
BNP 500 (normal <125)
A normal coronary angiogram
Abnormal Doppler Index on echocardiography
