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Heart Failure Article Post-Test Nohria, A., Lewis, E., & Warner Stevenson, L. (2002). Medical management of advanced heart failure. Journal of the american medical association (287), (5), 628-640. 1. Atrial fibrillation is present in ________of patients with advanced heart failure. a. 25% - 50% b. 10% c. 70% d. none of the above 2. _________ is present in 50% to 70% of patients with advanced heart failure. a. diabetes b. coronary artery disease c. COPD d. none of the above 3. Symptoms of advanced heart failure are dominated by those related to congestion. This is a reflection of elevated________ a. cardiac enzymes b. blood glucose c. filling pressures d. none of the above 4. Elevated filling pressures in chronic heart failure rely heavily on the following symptoms: a. excessive thirst b. pallor c. no symptoms are exhibited d. orthopnea and elevated jugular venous pressure 5. The first priority of treatment for advanced heart failure is a. relief of symptoms b. relaxation c. counseling d. bi-v ICD 6. _________ levels are increased by left ventricular distention which provide an index of volume status. a. Troponin b. Brain Natriuretic Peptide (BNP) c. CK-MB d. All of the above 7. The average patient referred with severe congestive symptoms undergoes approximately ______ of net diuresis a. 1 L b. 6L c. 500ml d. 4L