Key Terms
Age Considerations
Diagnostic Tests
Assessment
Heart Failure
100

 A clinical syndrome where the heart cannot pump enough blood to meet body needs

What is heart failure

100

Older adults may present with this instead of classic dyspnea

What is confusion

100

Noninvasive test showing heart structure and ejection fraction

What is an echocardiogram?

100

One of the earliest symptoms of left-sided HF

What is dyspnea on exertion?

100

This medication class reduces fluid overload

What are diuretics?

200

Heart failure caused by impaired ventricular contraction

What is systolic heart failure?

200

Age-related change that increases cardiac workload due to stiff vessels

What is decreased vascular compliance?

200

Blood test elevated in heart failure diagnosis

What is BNP?

200

Crackling lung sounds due to fluid accumulation

What are pulmonary crackles?

200

These drugs decrease workload and improve survival.

What are ACE inhibitors?

300

Heart failure caused by impaired ventricular relaxation and filling

What is diastolic heart failure?

300

 This increases in older adults and complicates HF management

What is polypharmacy?

300

Test that records electrical activity of the heart

What is an ECG/EKG?

300

Swelling of lower extremities

What is peripheral edema?

300

This lifestyle change helps reduce exacerbations.

What is sodium restriction?

400

 Hormone released when ventricles are stretched and overloaded

What is B-type natriuretic peptide (BNP)?

400

Common chronic condition contributing to HF in elderly patients

What is hypertension?

400

 Imaging that detects pulmonary congestion and cardiomegaly

What is a chest X-ray?

400

 Difficulty breathing when lying flat

What is orthopnea?

400

 This device helps synchronize heart contractions.

What is a cardiac resynchronization therapy (CRT) device?

500

The backup of blood leading to fluid accumulation

What is congestion?

500

 Aging kidneys lead to decreased ability to manage this

What is fluid balance?

500

Invasive procedure measuring intracardiac pressures

What is cardiac catheterization?

500

Sudden nighttime shortness of breath

What is paroxysmal nocturnal dyspnea (PND)?

500

This advanced treatment is considered end-stage therapy.

What is a heart transplant (or LVAD)?