Page 1 of 1: Congestive Heart Failure

drschawla · Credits: 211 My Scrapbook

. Which of the following is the MOST frequent cause of death for patients who have congestive heart failure?

a. Pneumonia
b. Endocarditis
c. Renal failure
d. Angina pectoris
e. Cerebral hemorrhage
plz explain, what can be the answer, i think it shld be pneumonia!!

vertika · Credits: 2265 My Scrapbook

ya ans shud b pneumonia n infact ne lung infecn wud occur due to congestion of lungs...

drlouis · Credits: 5374 My Scrapbook

as AF BEGETS AF , SO DOES CCF.

ONCE IN CCF ,THERE IS MORE FURTHER RECURRENCES (ESP IF THERE IS UNDERLYING STRUCTURAL DISEASE AND LOW EJECTION FRACTION)

MOST OF THE TIME CCF IS PRECIPITED BY PNEMONIA, LOWER RESPIRATORY INFECTION(VERY DIFFICULT TO EXCLUDE INFECTION FROM CCF) AND NON-COMPLIANCE, NSAIDS AND RENAL FAILURE(CAN BE BOTH CAUSE AND CONSEQUENCE OF CCF).

SO THE ANSWER MIGHT BE REFRACTORY CCF ITSELF (PULM EDEMA,CARDIOGENIC SHOCK,CARDIORESP ARREST) OR RENAL FAILURE DUE TO RENAL SHUTDOWN OR DUE TO PNEMONIA/INFECTION WHICH PRECIPITATED THE EVENT OR COMBINATON OF ALL(MODS-DEATH)

captainprasun · Credits: 1661 My Scrapbook

i think answer is renal shut down... pneumonias are common but may not be cause of death

wondergirl · Credits: 13277 My Scrapbook

since the question says common cause of death...

it should be renal failure which will lead to anuria,azotemia and subsequently death!!

ratnakar_potla · Credits: 5703 My Scrapbook My Reading List 2 Books

I too agree with you all.........
even though pneumonias are common thigs complication a compensated heart, they too finally lead to:
shock (in septic or vascular)
|
MODS
(renal shut down is a part of it)
|
DEATH

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