Deck 7: Epidemiology of Heart Failure

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Question
According to recent data, heart failure afflicts 38 million people worldwide and 6.5 million in the United States.
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Question
In "Systolic Heart Failure," the myocardium (heart muscle) of the ventricular walls is weakened, the ventricles are dilated, and their contracting power is impaired.
Question
In "Diastolic Heart Failure," the ventricular walls are thickened and stiff with less blood volume than normal, and though the ventricle pumps out 50% or more of the blood volume, the amount ejected with each contraction is less than normal.
Question
The lifetime risk for heart failure is approximately 20%.
Question
Age specific incidence rates of heart failure are higher in women than men.
Question
The annual incidence of heart failure is increasing, and the annual prevalence is decreasing.
Question
The rate of hospitalizations for heart failure has increased fourfold in the United States since 1970.
Question
In developed nations, 20-40% of HF patients die with one year of diagnosis, and over 50% die within 5 years of diagnosis.
Question
Heart failure in underdeveloped nations is primarily due to predisposing infectious diseases.
Question
Heart failure in developed nations is primarily due to predisposing chronic diseases.
Question
Systolic heart failure is characterized by which of the following?

A) Weak dilated left ventricle
B) Fibrotic thickened left ventricle
C) Low ejection fraction
D) Normal ejection fraction
E) a and c are correct.
F) b and d are correct.
Question
Diastolic heart failure is characterized by which of the following?

A) Weak dilated left ventricle
B) Fibrotic thickened left ventricle
C) Low ejection fraction
D) Normal ejection fraction
E) a and c are correct.
F) b and d are correct.
Question
In the United States, what percentage of incident cases of heart failure die within one year of diagnosis?

A) 5-10%
B) 10-20%
C) 20-40%
D) 40-50%
Question
What is the primary cause of heart failure in sub-Saharan Africa?

A) Hypertension
B) Heart attack
C) Atrial fibrillation
D) Infection
Question
Cor Pulmonale refers to what form of heart failure?

A) Left ventricular failure
B) Right ventricular failure
C) Heart valve infection
D) Old myocardial infarction
Question
What is the most common infectious disease that causes heart failure in underdeveloped nations?

A) Chagas disease
B) Rheumatic heart disease
C) Tuberculosis
D) Malaria
Question
Beri-Beri refers to what specific dietary deficiency?

A) Thiamine (Vitamin B1)
B) Niacin (Vitamin B6)
C) Riboflavin (Vitamin B12)
D) Iron
Question
In the United States, what is the approximate 5-year survival of heart failure?

A) 10%
B) 25%
C) 50%
D) 75%
Question
Discuss guidelines for the prevention of congestive heart failure.
Question
Discuss systolic heart failure.
Question
Discuss diastolic heart failure.
Question
Discuss "Cor Pulmonale."
Question
Discuss the causes of heart failure in underdeveloped nations.
Question
Discuss causes of heart failure in developed nations.
Question
Discuss the role of anemia in the development of heart failure.
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Deck 7: Epidemiology of Heart Failure
1
According to recent data, heart failure afflicts 38 million people worldwide and 6.5 million in the United States.
True
2
In "Systolic Heart Failure," the myocardium (heart muscle) of the ventricular walls is weakened, the ventricles are dilated, and their contracting power is impaired.
True
3
In "Diastolic Heart Failure," the ventricular walls are thickened and stiff with less blood volume than normal, and though the ventricle pumps out 50% or more of the blood volume, the amount ejected with each contraction is less than normal.
True
4
The lifetime risk for heart failure is approximately 20%.
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5
Age specific incidence rates of heart failure are higher in women than men.
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6
The annual incidence of heart failure is increasing, and the annual prevalence is decreasing.
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7
The rate of hospitalizations for heart failure has increased fourfold in the United States since 1970.
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8
In developed nations, 20-40% of HF patients die with one year of diagnosis, and over 50% die within 5 years of diagnosis.
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9
Heart failure in underdeveloped nations is primarily due to predisposing infectious diseases.
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10
Heart failure in developed nations is primarily due to predisposing chronic diseases.
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11
Systolic heart failure is characterized by which of the following?

A) Weak dilated left ventricle
B) Fibrotic thickened left ventricle
C) Low ejection fraction
D) Normal ejection fraction
E) a and c are correct.
F) b and d are correct.
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12
Diastolic heart failure is characterized by which of the following?

A) Weak dilated left ventricle
B) Fibrotic thickened left ventricle
C) Low ejection fraction
D) Normal ejection fraction
E) a and c are correct.
F) b and d are correct.
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13
In the United States, what percentage of incident cases of heart failure die within one year of diagnosis?

A) 5-10%
B) 10-20%
C) 20-40%
D) 40-50%
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14
What is the primary cause of heart failure in sub-Saharan Africa?

A) Hypertension
B) Heart attack
C) Atrial fibrillation
D) Infection
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15
Cor Pulmonale refers to what form of heart failure?

A) Left ventricular failure
B) Right ventricular failure
C) Heart valve infection
D) Old myocardial infarction
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16
What is the most common infectious disease that causes heart failure in underdeveloped nations?

A) Chagas disease
B) Rheumatic heart disease
C) Tuberculosis
D) Malaria
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17
Beri-Beri refers to what specific dietary deficiency?

A) Thiamine (Vitamin B1)
B) Niacin (Vitamin B6)
C) Riboflavin (Vitamin B12)
D) Iron
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18
In the United States, what is the approximate 5-year survival of heart failure?

A) 10%
B) 25%
C) 50%
D) 75%
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19
Discuss guidelines for the prevention of congestive heart failure.
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20
Discuss systolic heart failure.
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21
Discuss diastolic heart failure.
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22
Discuss "Cor Pulmonale."
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23
Discuss the causes of heart failure in underdeveloped nations.
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24
Discuss causes of heart failure in developed nations.
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25
Discuss the role of anemia in the development of heart failure.
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