แสดงบทความที่มีป้ายกำกับ Heart Failure แสดงบทความทั้งหมด
แสดงบทความที่มีป้ายกำกับ Heart Failure แสดงบทความทั้งหมด

Heart Disease and Congestive Heart Failure

What are the types of heart failure?
Systolic dysfunction (or systolic heart failure) occurs when the heart muscle does not contract with enough force, so there is less oxygen-rich blood is pumped throughout the body.










Diastolic dysfunction (or diastolic heart failure) occurs when the heart contracts normally but the ventricles do not relax properly or are stiff, and less blood enters the heart during normal filling.

A calculation made during an echocardiogram called the ejection fraction (EF) is used to measure how well the heart pumps with each beat to help determine if systolic or diastolic dysfunction is present. The doctor can discuss which condition you have.

How is heart failure diagnosed?

The doctor many questions about your symptoms and medical history. You will be asked of all who have conditions that can cause heart failure (such as coronary heart disease, angina, diabetes, heart valve disease and high blood pressure). You will be asked if you smoke, take drugs, drink alcohol (and how much you drink), and what medications you take.

You will also get a complete physical examination. The doctor listens to your heart and look for signs of heart failure and other diseases that may have caused the heart muscle to weaken or stiffen.

The doctor may also order other tests to determine the cause and severity of your heart failure. These include:

Blood tests. Blood tests are used to evaluate kidney function and thyroid, as well as to control cholesterol levels and the presence of anemia. Anemia is a blood condition that occurs when there is not enough hemoglobin (the substance in red blood cells that enables blood to carry oxygen throughout the body) in the blood of a person.

B-type natriuretic peptide (BNP) blood test. BNP is a substance secreted by the heart in response to changes in blood pressure that occur when heart failure develops or worsens. Blood levels of BNP increase when heart failure symptoms worsen, and decreases when the heart failure condition is stable. The level of BNP in a person with heart failure - even someone whose condition is stable - is higher than a person with normal cardiac function. BNP levels do not necessarily correlate with the severity of heart failure.


Chest X-ray. A chest x-ray shows the size of your heart and if there is accumulation of fluid around the heart and lungs.
Echocardiogram. This test shows the movement of the heart.
Ejection fraction (EF). A test called the ejection fraction (EF) is used to measure how well the heart pumps with each beat to determine if the systolic dysfunction or heart failure with preserved left ventricular function are present. The doctor can discuss which condition is present in your heart.

Electrocardiogram (EKG or ECG). An EKG records the electrical impulses that travel through the heart.
Cardiac catheterization.

The stress test.
Other tests may be ordered, depending on condition.

What is heart failure

Is a condition in which the heart cannot pump blood. Supply parts. The body has enough, or it may indicate that the heart is unable to relax or expand to accommodate a normal blood. Blood pressure in the lungs. The congestion of blood in the lungs. The symptoms are tiredness. And may cause swelling of the body.










The cause of heart failure.

Coronary heart disease. Hypertension Rheumatic heart valve disease or disability. Heart disease is congenital. Membrane disease, certain types of heart disease, thyroid disease, renal toxicity, anemia, hooker Heart beats fast, arrhythmia's. Bacterial or viral infections, tuberculosis, received chemotherapy. Or received radiation. Some types of arthritis. Poisoning of some kind. Some sleep disorders. These additional conditions. The symptoms of heart failure even more. Patients with acute coronary heart disease. High blood pressure. Some infections such as respiratory tract infections. Condition in which the heart beats too fast or too slow. Ascribes to get more water than is needed. Lack of medication on a regular basis. Eating too much salt, some drugs such as painkillers. The steroid treatment group.

Symptoms of heart failure.

Symptoms of fatigue. It may be in the room. Angina at exertion or lying down can not breathe at night. May need help breathing, coughing up to shake a leg or abdominal swelling. It causes the liver and spleen over time may be a weakness, fatigue, thinning down.

Diagnosis.

History of risk factors that cause disease. That's probably why it causes disease. And physical examination by a doctor.

The special

1. The X-ray lung I do not see the shadow. And that the volume of fluid. Or congestion in the lungs or not.

2. Check to see if my chart. An indicator of heart. Or suspected coronary artery disease or not. And that it indicates a heart. A fast or slow heartbeat, or arrhythmia's.

3. The reflected sound waves with a heart. (Echocardiography) of the muscle. I have been squeezing. Or to release or not. Heart disease disability. The pericardium was normal or not.

4. Blood for levels of certain minerals in the blood. Renal function, thyroid hormones or certain types of blood levels of BNP or NT pro BNP (Brain Natriuretic Peptides), which showed that the increase in heart failure. Can be used for diagnosis. And monitoring the treatment of heart failure patients (to mention this mainly refers to the treatment of heart failure on muscle Chronic heart, squeezing the poor).



Treatment

1. General treatment.

1.1. Control treatment. Risk factors that cause heart failure.

1.2. Education. To patient care after returning from the hospital.

•. Control of drinking water should not exceed 1.5 liters per day.

•. Salt diet limited to not more than 2 grams of salt per day (about half a teaspoon).

•. Weighing every day. At least once a week or two to see if there is excess water in the body condition or not. If more than 2 kg in weight over 3 days may consider using a diuretic. Or doctor.

•. Weight control. If you should lose weight, weight down. If too thin, it may mean. Malnutrition, or congestive heart failure, acute and chronic.

•. Exercise An exercise program. Appropriate as to avoid exercises such as lifting weights or playing the spell.

•. Be careful not to colds and infections.

•. No drinking and smoking.

•. Dietary fat.

•. To have sex if one layer of stairs without tiring. I could have sex normally.

•. To ensure sufficient rest and sleep.

•. Travelers should exercise caution. Should not be in the high, thin air, the air is too humid.


2. Treatment by drugs: new drugs and other drugs. The drugs used in emergency and acute. Does not bring them here.


3. Treatment using special tools.


3.1. The implantation of a cardiac shock (Implantable Cardioverter Defribrillators, ICD) is implanted into the patient. For the treatment of cardiac arrhythmia's. Which is often found in severe heart failure. The device will diagnose the heart. And shocked automatically. Can reduce mortality by acute.


3.2. Heart pacemaker implanted CRT (Cardiac Resynchronization Therapy) is embedded into the body. Patients with severe heart failure. That the conductivity anomaly. The compression of the heart are interrelated. Lead to a better heart. As a result, makes the heart work better compression. Can make the patient better. Hospital less Reduce waste and death. This device may serve as a supplement. Electric shock to the heart by 3.1 with a CRT-Defribrillator.


4. Treated by surgery: treatment by surgery is surgery to change the heart (Cardiac Tranplantation) in the absence of treatment of the above.

Heart Failure (Congestive Heart Failure)

Heart Failure (Congestive Heart Failure).
Also known as congestive heart failure is a condition in which the heart can not squeeze blood to different parts of the body to meet the requirements of the hotel. Or to exercise. A condition in which the heart can not function normally. It mainly occurs in end-stage heart disease of all kinds. It is also the complication of the disease, many other diseases.











The cause of heart failure.
It is divided into two.
  1. I have to work harder than going from
   - State of the valve was leaking.
   - The volume of blood in the circulatory system, too.
   - Congenital heart defects are.
  2. Irregularities in the functioning of the heart muscle.
   - Heart muscle weakness by unknown causes.
   - Myocardial infarction.
   - Heart muscle inflammation.
  3. Disorders of the heart lining.
   - Have blood or pus in the pericardium.
   - Inflammation of the pericardium.

Symptoms of heart failure.

  - The night may have a pink frothy sputum, together with
  - Dyspnea at night.
  - Can not breathe lying down.
  - Asthma, fatigue after exertion.
  - Does not work.
  - Fatigue, tired, dizzy.
  - Frequent urination at night.
  - Swelling of the feet, ankles, and press the dent.

Prevention of heart failure.

 1. Observe their own symptoms. If the skin feels tight, ankle swelling, weight gain, shoes or clothes on. And I often felt exhausted and the routine slowly. It may be early symptoms of heart failure should be a doctor.
 2. To prevent heart disease. Because of certain heart diseases can be prevented, such as heart disease, Rheumatic. Myocardial ischemia.
 3. Enough rest. The rest of the day on a regular basis. The shorter working hours.
 4. To avoid causing upset or stress.
 5. Restrict the activities. The force does not work out violently
 6. Co., Ltd., salty food, drinking water and medicines as prescribed.
 7. Doctor for a check on a regular basis.