Heart failure

Heart failure's disease overview

What is

heart failure?

Heart failure is an incompetent heart condition to provide blood to ensure the body's active needs. Heart failure is the last common path for most cardiovascular diseases. Patients with heart failure will impair the ability to operate, reduce quality of life, depending on the degree will need different support. In addition, patients with severe heart failure will face high risk of death due to arrhythmia and loss of heart failure. Heart failure is divided into two types: acute and chronic heart failure. This article will mention chronic heart failure.

Causes of Heart failure's disease

Clinically, Causes of heart failure are divided into groups: left heart failure, right heart failure, whole heart failure

Cause of left heart failure:

Hypertension: is the most common cause

Chronic ischemia heart disease, Heart failure after myocardial infarction

Valve disease: Aortic valve stenosis, mitral valve openings

Myocardial pathology

congenital heart disease: still arterioscleros, aortic waist stenosis, .. Cause of right heart failure:

Chronic lung disease: COPD, bronchodilator, pulmonary fibrosis, ...

Pulmonary pressure increased

Mitral stenosis

Long -term left heart failure will lead to right heart failure, this is the most common cause Cause of whole heart failure:

Dacinaging myocardial disease

Symptoms of Heart failure's disease

Symptoms of heart failure are also divided into three groups

Symptoms of left heart failure: To breathe

Heart and acute pulmonary enlargement: often appears after exertion, patients have difficulty breathing, struggling to stimulate, coughing pink foam. It is necessary to be emergency in time, otherwise it will be life -threatening chest pain: Patients may have chest pain due to coronary artery disease (which is the cause of heart failure) but may also have chest pain due to severe heart failure leading to reduced perfusion for vessels Rim

Little, dizziness, dizziness

Heart examination can detect signs: left -hearted heart, abnormal blowing due to heart valve disease

Symptoms of right heart failure:

Difficulty breathing: Often shortness of breath increases, getting worse, there is often no shortness of breath such as fruit failure. Patients with heart failure due to obstructive pulmonary disease may have acute breathing difficulties due to progressive lung disease.

liver, edema, neck veins

Symptoms of heart failure:

Big liver, a lot of edema, floating neck veins, multi -membrane overflow

Heart failure can be in a rule of NYHA (New York Heart Association):

Heart failure 1: Patients with heart disease but no functional symptoms, almost normal

Heart failure 2: Symptoms that appear during exertion

Heart failure 3: Symptoms appear with less exertion, limiting many physical activity

Heart failure 4 (end stage heart failure): Symptoms that appear frequently even when resting

People at risk for Heart failure's disease

Hypertension

Diabetes

Blood lipid disorders

Smoking

Men

Old age

congenital heart disease, valve disease must not be repaired

Uns control obstructive pulmonary disease

Static lifestyle at

Prevention of Heart failure's disease

Healthy diet: Reduce salt, lots of green vegetables, limit animal fat instead of vegetable oil, limit the eating of animal organs

Exercise regularly: at least 30 minutes a day, 5 days per week

Quit completely

Control blood pressure by changing lifestyle and taking medication regularly

Control blood sugar, blood lipid

Treatment for repairing structural heart disease

Diagnostic measures for Heart failure's disease

Heart doppler ultrasound: is an essential means to diagnose and find the cause of heart failure. On cardiac Ultrasound can assess the heart function, heart valve disease, regional dysfunction in coronary artery disease, pulmonary artery pressure, congenital heart abnormalities ...

ECG: usually does not diagnose heart failure based on ECG, but ECG may show indirect signs of the cause of heart failure such as ST, wave t, t waves , Q wave, increasing left ventricular burden, thick atrial ventricular ventricular. Especially on the ECG if there are signs of Block of the left branch, QRS width> 130ms with EF heart function <35% is a cardiac refinery (CRT) indication

chest X-ray: Nor specificity to diagnose heart failure, can see big heart ball if severe heart failure, relaxing heart chamber

Testing: NT-Probnp, BNP are peptids, increasing in the blood due to the stretching of the heart chamber. NT-Probnp increases is a point of heart failure

Other tests: HBA1C, Cholesterol, LDL-C, HDL-C, Liver, Kidney function ..

Heart failure's disease treatments

Treatment of heart failure takes medical treatment as the foundation, combining the causes of heart failure such as coronary re -ventilation, valve replacement surgery, valve repair, surgery to repair congenital heart disease ... Can transplant cardiac (CRT), vibrating machine (ICD) when indicated

Medical treatment:

AT1 receptor inhibitors/inhibitors: A pills of heart failure treatment, improving symptoms and mortality.

Sympathetic beta blockers: inhibiting excessive reactions of the sympathetic system, improving the mortality rate and the risk of sudden death due to arrhythmia, increasing exertion ability .

Aldosterone diuretic: is also a drug that can improve the risk of sudden death in heart failure patients.

Diuretics: Diuretics are often used in congestion heart failure, improving heart failure symptoms

Digoxin: does not improve mortality but improves symptoms, carefully used for prolonged use, can cause poisoning

The group of drugs combined with Valsartan/Sacubitril: This is a combination drug that has been strongly developed in recent years, the effect has been proven to overcome the inhibition of enzymes/inhibitors Simply in the treatment of heart failure.

CRT transplanting

has many indications for CRT, especially when heart failure EF ≤35%, QRS ≥130ms and still have symptoms even though optimal medical treatment ICD transplanting

indicated when heart failure EF ≤35%, additional prognosis of ≥1 years, while symptoms, despite optimal medical treatment due to dilated heart disease, ischemic heart disease or disease or disease. The cause of severe ventricular arrhythmia can cause hemodynamic loss.

Heart transplant

When enduring heart failure, resistance to treatment measures, under 65 years old. Contraindicated when there is a fixed pulmonary hypertension, severe systemic disease, cancer detected less than 5 years.

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