Heart Failure

IM1.6 Describe and discuss the compensatory mechanisms involved in heart failure including cardiac remodelling and neurohormonal adaptations 

IM1.7 Enumerate, describe and discuss the factors that exacerbate heart failure including ischemia arrythmias anemia thyrotoxicosis  ischemia, arrythmias, anemia, thyrotoxicosis, dietary factors drugs etc.

IM1.8 Describe and discuss the pathogenesis and development of common arrythmias involved in heart failure particularly atrial fibrillation

IM1.9 Describe and discuss the clinical presentation and features, diagnosis, recognition and management of acute rheumatic fever

IM1.10 Elicit document and present an appropriate history that will establish the diagnosis, cause and severity of heart failure including: presenting complaints, precipitating and exacerbating factors, risk factors exercise tolerance, changes in sleep patterns, features suggestive of infective endocarditis