Granting heart failure

Granting heart failure's disease overview

Heart failure is the last common path for cardiovascular diseases. Heart failure is divided into two acute heart failure and chronic heart failure. Acute heart failure may be a new heart failure that may also be a severe progression of chronic heart failure (called an exacerbation of heart failure). Acute heart failure in patients with chronic heart failure is more common than clinically. Patients who come to the hospital in acute heart failure need emergency treatment, if delayed can fall into cardiac shock, the mortality rate is very high.

Causes of Granting heart failure's disease

acute heart failure appears often due to:

  • Acute mitral valve openness, acute aortic valve due to infection inflammation

    • Acute myocardial infarction

    Muscle complications of acute myocardial infarction: Perforation of ventricular walls, broken valve ligament, breaking into the heart of the heart ..

  • Cardiac compression syndrome

    • Acute pulmonary artery obstruction

    Acute heart failure on a chronic foundation often appears when there are factors that do not make up. The common causes of compensation are:

  • Acute rim syndrome
  • Emergency hypertension

    • Arrhythmia

  • Infectious pathology: pneumonia, exacerbation of pulmonary disease

    • Severe kidney failure

  • Do not comply with the diet, arbitrarily quit

    • Causes acute heart failure in children often different from adults, often do not experience ischemic heart disease. Common causes:

  • congenital heart disease

    • Dacinaging myocardial disease

    hypertrophic myocardial disease

    Myocarditis

  • Arrhythmia

    • Symptoms of Granting heart failure's disease

    New acute heart failure appears: usually fast, the heart muscle does not have enough time to adapt to relaxation or hypertrophy. If due to mechanical events such as acute heart valve openings, emergency surgery is often required. Symptoms of new acute heart failure:

  • Difficulty breathing, difficulty breathing often, may not respond to oxygen, must support artificial ventilation
  • Big liver, floating veins
  • moist lungs of two waste fields
  • Signs of reducing organ perfusion: cold, moist limbs, purple floating, at least urine.
  • Blood pressure can drop less than 90mmhg
  • Listen to the heart can see a new blow

    • Acute heart failure on chronic background symptoms:

  • Symptoms of chronic heart failure:

    • History of shortness of breath, shortness of breath when exertion, having shortness of breath at night

    Big liver, edema, little minor

  • Symptoms of the Execution (as described above)
  • Symptoms of the cause of loss: Signs of infection, fever, chest pain ...

    • People at risk for Granting heart failure's disease

  • Infections infections

    • Patient in the long run, after surgery, there is a risk of pulmonary embolism that causes ventricular impairment

    There are risk factors for coronary artery disease, which may appear acute myocardial infarction

    Men

    Elderly

    Smoking a lot

    diabetes

    obesity

    Blood lipid disorders

  • Unsontrollable hypertension
  • Uncutable arrhythmia

    • Prevention of Granting heart failure's disease

  • Quit smoking
  • Healthy diet: Reduce salt, high fiber, low animal fat instead of vegetable oil

    • Weight loss if overweight

  • Gentle exercise depending on the degree of disease
  • Patriarchal thrombosis in patients must be motionless, lying for a long time
  • Sugar control, blood pressure
  • Take medication regularly, do not arbitrarily quit or stop medicine
  • Do not arbitrarily infusion into the body at unsecured facilities

    • Diagnostic measures for Granting heart failure's disease

  • Blood test: NT-Probnp, BNP can be used for rapid diagnosis when patients in the emergency room. If NT-Probnp does not increase, it can be directed to find other causes of breathing difficulties in patients without cardiovascular disease (NT-Probnp threshold <300pg/ml, BNP <100 PG/mL)

    • Other tests: arterial blood gas, blood lactate, troponin t, liver function, kidney ... assess the condition of cardiac shock and the cause

    EMPLOYURE EMPLOYEES IN EMPLOYEES TO BACK HEART HEART EVALUATION, and can identify causes such as: infected endothelial infections, heart valves Granting, regional movement disorders in myocardial infarction, acute heart compression syndrome, signs of right ventricular failure ...

    Electrolyte: Find arrhythmia, ST-T changes in myocardial infarction, S1Q3T3 pulmonary infarction characteristics ...

  • Computerized tomography if the pulmonary embolism is suspected

    • Lung X-ray often has little diagnosis of acute heart failure but can diagnose pneumonia if suspected, when hemodynamic stability. Also in acute pulmonary edema can see signs of fading butterfly two lungs.

    Granting heart failure's disease treatments

    hemodynamic stability:
  • If the patient stimulates a lot of acute pulmonary edema, can use intramuscularly or intravenously 5mg Morphin Sulfate.
  • Use of intravenous diabetes: using Furosemid diuretic, starting the starting dose from 20-40mmHg
  • If the blood pressure is still maintained> 110mmHg, it is possible to consider using nitroglycerin to reduce the burden but need to be cautious because it can cause pressure drop
  • If blood pressure drops, moist cold, should be placed in the central intravenous line, and use vasodilators: noradrenalin, dobutamin
  • If not tolerated with medical treatment, may need to consider supporting the body.
    • Treatment of the cause of acute heart failure, chronic acute exacerbation:
  • If the heart valve is exposed to intolerance With medical treatment, emergency surgery is required

    • Acute heart failure due to myocardial infarction: Patients come in 12 hours of symptoms, need to re -emergency coronary circulation by skin intervention, severe cases of shock ECMO supportable support acute heart failure, cardiomyopathy -caused cardiomyopathy often must support the body's circulation (ECMO) in the acute phase

  • Consider fibroids or take thrombosis through a catheter in patients with pulmonary embolism with cardiac shock or progress badly through monitoring time
  • Treatment of infection diseases accompanied by
  • dialysis if renal failure progresses, urinary, does not respond to medical treatment

    • See also:

  • The stages of heart failure
  • Surgery to treat heart failure
  • Heart failure examination pack
  • heart failure in children

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