Congestive heart failure

CHF
Clinical Features
- Left Ventricle
- Cough
- Mucus/blood
- impaired left ventricle systolic function has an
overall burden
- decreased urine production
- fatigue/weakness
- Shortness of breath
- heart palpitations
- right ventricle
- swelling of feet/ankles
- excessive urination
- irregular fast heart beat
- pronounced neck veins
Pathophysiology
- systole
- enlargement ventricles
- pumps less 40% blood
- diastole
- Shift ventricles
- cuts 60% of bloods
- pumps less than normal
- peripheral
- Activation of renal-adrenal system
- Activation of Cardiac Rns
- enlargement
Etiology (cause)
- leaky (narrow heart vavle
- heart attack
- Heart Valve Disease
- Abnormal Heart Rhythm
- Hypertension
- Other:
- Hyperthyroidism
- Hypothyroidism
- Emphysema
- Severe Anemia
- Coronary Artery Disease
Treatment
- Surgical
- Valve replacement
- Ventricular reconstructive surgery
- Coronary Artery Bypass Grafting
- Non-Surgical
- ACE inhibitors
- Heart Transplant
- Angiontensin II receptor blockers
- Diuretics
Prevetion
- Primary
- Decrease the rate of incidence
- improvement in medical care
- Healthy lifestyle/habits
- avoid illegal drugs
- Secondary
- Consult a Dr.
- proper physical activity
- on-going care/ and treatment
- Avoid drinking alcohol
- treatment of hypertension, heart disease,
abnormal heart rhythm, etc.
- Antiarrhythmic therapy
- Tertiary
- Avoid heart workload
- Take your required medicine
- rehabilitation
- reduce risk factors
Epidemiology
- Incidence
- over 5.5 million have heart failure
- more than 650,000 diagnosed for the first time
- hospital rates increased over the last decade
- Economic Burden
- reason for 12-15 million Dr./hospital visits
- Prevelance
- increased rate of prevelance
- Possibly an emerging epidemic
- 1-2% had a self-report from 1971-1975
Etiology (cause)
- leaky (narrow heart vavle)
- heart attack
- Heart Valve Disease
- Abnormal Heart Rhythm
- Hypertension
- Other:
- Hyperthyroidism
- Hypothyroidism
- Emphysema
- Severe Anemia
- Coronary Artery Disease
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