Left sided Heart Failure
Intended Learning Outcomes
|Left sided Heart Failure
- Describe the epidemiology and the importance of heart failure within intensive care medicine.
- Describe the pathophysiological responses of the failing heart, specifically the neurohormonal response and how these impact on the left ventricular pressure-volume loop.
- Classify the diverse causes of acute decompensated heart failure.
- Discuss the workup for a patient with acute heart failure describing the key features of clinical assessment and investigations.
- Outline the place for grading systems, prognostication and scoring systems for the patient with acute heart failure and their limitations.
- Outline the basic and advanced monitoring available for the critically unwell patient with acute heart failure including cardiac output monitoring.
- Describe the management of heart failure as outlined within the European Society of Cardiology Guidelines.
- Outline the physiological targets and standard organ support when treating the patient with acute heart failure.
- Describe the indications and timing for short term mechanical circulatory support in acute heart failure.
- Outline the haemodynamic goals and effects of mechanical circulatory support
- Describe the key characteristics of specific devices including, intra-aortic balloon pump (IABP), Impella, TandemHeart, Veno-Arterial Extracorporeal Membrane Oxygenation (VA ECMO).
- Discuss the role of long term mechanical circulatory support and heart transplantation.
Relevant competencies from CoBaTrICE
|Left sided Heart Failure
- 1.1 Adopts a structured and timely approach to the recognition, assessment and stabilisation of the acutely ill patient with disordered physiology
- 1.3 Manages the patient post-resuscitation
- 2.2 Undertakes timely and appropriate investigations
- 2.3 Describes indications for echocardiography (transthoracic / transoesophageal)
- 2.4 Performs electrocardiography (ECG / EKG) and interprets the results
- 2.9 Monitors and responds to trends in physiological variables
- 2.10 Integrates clinical findings with laboratory investigations to form a differential diagnosis
- 3.1 Manages the care of the critically ill patient with specific acute medical conditions
- 3.2 Identifies the implications of chronic and co-morbid disease in the acutely ill patient
- 3.3 Recognises and manages the patient with circulatory failure
- 4.4 Uses fluids and vasoactive / inotropic drugs to support the circulation
- 4.5 Describes the use of mechanical assist devices to support the circulation
- 5.17 Demonstrates a method for measuring cardiac output and derived haemodynamic variables
The authors of this module have not reported any disclosures.
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