Heart Failure is a growing problem worldwide and a leading cause of admissions in the hospital. Heart failure may not be a curable disease but understanding the disease and treatment options can help with better management of the symptoms.
It is the inability of the heart to pump enough blood to meet body needs due to muscle weakness or muscle stiffness. Heart failure is NOT a heart attack.
Systolic HF (Muscle weakness)
Weak heart muscle is not able to pump enough blood
Diastolic HF (Muscle thickening and stiffness)
Thick heart muscle is not able to pump blood in a normal way
Right-Sided Heart failure was seen in patients with lung disease.
Shortness of breath or breath difficulty and leg swelling are the most common symptoms. The other symptoms are cough, weight gain, fatigue, not able to lie flat due to breathing difficulty.
Heart attack, High blood pressure, Obesity, Diabetes, Heart valve damage, Family history of heart disease, Age more than 65 years.
Yes. According to the American Heart Failure Society of America, there are currently 6 million Americans with heart failure and number will reach more than 8 million in next decade.
Commonly ordered tests for patients with heart failure include ECG, echocardiogram, chest X-ray, and blood work. An echocardiogram (echo) gives information on strength of the heart muscle and gives Ejection Fraction or EF. EF more than 55% is considered normal in most echo labs. Some patients may need a stress test or cardiac catheterization.
There have to be significant lifestyle changes including salt restriction, fluid restriction, quitting smoking/alcohol. You may be placed on several medications from different categories: water pill to get rid of extra fluid, Beta-blocker, and Ace inhibitor or ARBs (commonly used medication for blood pressure) to strengthen the heart muscle. Few patients may need ICD or implanted defibrillators or referral to centers for advanced heart failure for surgical options.
There are two types of staging system for heart failure.
One is based on the severity of patient symptoms –New York Heart Association Functional Class (NYHA)
NYHA I: No limitation of physical activity
NYHA II: Slight limitation of physical activity
NYHA III: Marked limitation of physical activity due to breathing difficulty.
NYHA IV: Shortness of breath at rest
In 2001 ACC/AHA introduced new staging system based on damage to the heart
Stage A: No structural disease of heart but High Risk for developing CHF but
Stage B: Has structural disease of heart but never had signs and symptoms.
Stage C: Structural heart disease with past or current symptoms of CHF
Stage D: End-stage heart failure requiring specialized treatment
Heart failure is not a death sentence anymore. Many patients who have heart failure improve or stabilize with medications. The prognosis for heart failure has improved over the last decade due to ongoing medical research and availability of new medications and surgical options like LVAD (Heart pump), a heart transplant.
This post was last modified on April 14, 2022 9:01 am
Spider veins are a common cosmetic concern for many people, causing small, visible veins to appear just beneath the surface… Read More
Digital Signage for Hospitals: Streamlining Communication in Hospitals SEO description: The use of digital signage for hospitals transforms the way… Read More
Oxygen is the most critical element for human survival, and in scenarios where oxygen levels are compromised, having access to… Read More
In the world of competitive sports and bodybuilding, serious athletes are always on the lookout for reliable, high-quality supplements to… Read More
Car accidents can change lives, causing long-term injuries that affect physical health, finances, and emotional well-being. Recognizing these effects is… Read More
Traumatic brain injury (TBI) is a serious condition that can result from various forms of negligence, such as car accidents,… Read More
It sucks to be on a tight budget. You have to pick and choose what you buy at the grocery… Read More
We’ve all laid in bed tossing and turning, not being able to sleep. But what if this is happening to… Read More
Addiction can profoundly impact every aspect of an individual’s life, from their physical health to their relationships, career, and spiritual… Read More
The mental health landscape for teenagers is increasingly concerning. Adolescence is a period fraught with changes—physically, emotionally, and socially—that can… Read More