NYHA Classes
What is elevated BNP (natriuretic peptide)?
The modifier code designated to patients requiring frequent emergency visits or hospitalizations for IV diuretics, ultrafiltration, or brief inotropic therapy.
What is FF?
This stage is characterized by structural disease but no signs or symptoms of heart failure.
What is Stage B?
This heart classification by EF affects more women than men.
What is HFprEF (HF with preserved reduced EF)?
This stage is a patient in that manifest with hypoperfusion that requires interventions such as inotropes, pressors, and/or mechanical support / ECMO beyond volume resuscitation to restore perfusion.
What is Stage C Classic Cardiogenic Shock?
This heart failure has a 10-15% 1 year mortality.
What is Class II?
This Intermacs patient profile corresponds with the SCAI Shock stage E.
What is Crash and Burn or Intermacs 1?
This is a patient with known risks of heart failure such hypertension, CVD, diabetes, obesity, exposure to cardiotoxic agents, genetic variant for cardiomyopathy or family history of cardiomyopathy, but without current or previous symptoms/signs of HF and without structural/functional heart disease or abnormal biomarkers.
What is Stage A?
This heart failure has LVEF of 41-49%
What is HF with mildly reduced EF?
This wedge is indicative of cardiogenic shock?
What is 18 mmHg?
This class has marked limitation of physical activity. They are comfortable at rest but less than activity causes fatigue, palpitation, and dyspnea.
What is Class III?
The patient profile to describe the patient dependent on inotropic support who continues to deteriorate in nutrition, renal function, fluid retention with refractory volume overload.
What is the Intermacs 2: progressive decline / sliding on inotropes patient profile?
The stage of HF is characterized by worsening HF symptoms that interfere with daily life and with recurrent hospitalization despite attempts to optimize GDMT.
What is stage D?
This heart failure classification is characterized by LVEF >50% and evidence of spontaneous or provokable increased LV filling pressures and elevated natriuretic peptide.
What is HFpEF (HF with preserved EF)?
This is the downward spiral of progressive hypoperfusion, organ dysfunction, and shock driven by accumulated metabolic derangements.
What is the death spiral of cardiogenic shock?
These three drugs for patients with advancing heart failure are considered routine?
What is Diuretics, ACEI and Betablockers?
7
What is the number of patient profiles in the Intermacs?
This stage is characterized by ventricular hypertrophy and shortness of breath, elevated biomarkers indicative of acute coronary syndrome.
What is stage C?
This HF is managed by four main drug classes; renin-angiotensin system inhibitors, evidence-based B-blockers, mineralocorticosteroid inhibitors, and sodium glucose cotransporter 2 inhibitors.
What is HFrEF?
This remains a leading cause of death among patients with acute myocardial infarction.
What is cardiogenic shock?
This level is characterized by persistent cough, Paroxysmal nocturnal dyspnea, swelling and cognitive change.
What is NYHA level IV?
This NYHA scale correlates with Intermacs 7 where a patient has limited activity with mild physical exertion while patient is living comfortably at home.
What is advanced NYHA class III?
This stage correlates with the NYHA class I.
What is stage B?
This hemodynamic index indicates a heart failure patient is moving from congestion to hypoperfusion.
What is CPO <0.6?
This profile (a low CI, an elevated systemic vascular resistance, and a high PCWP) is the most frequent CS phenotype, accounting for nearly two thirds of patients with MI-associated CS.
What is classic “cold and wet” cardiogenic shock?