CARDIAC FAILURE
DEFINITION- it is the condition in which the heart losses its capacity to pump sufficient amount of blood to all the parts of body.
HEART FAILURE
TYPES SYSTOLIC DIASTOLIC HEART RIGHT HEART LEFT HEART FAILURE DIAGNOSIS TREATMENT
HEART FAILURE FAILURE
FAILURE
DESCRIP Impaired Impaired relaxation & Right ventricle Left ventricle fails to Diagnosis mainly Reduce cardiac work load-
TION ability of the filling of the heart, fails to pump pump blood effectively based on its clinical complete bed rest.
heart to despite normal blood to the lungs features Small & light meals
contract and contraction effectively to recommended.
pump blood the lungs Sedatives & antianxiety
drugs prescribed.
EJECTIO <40% Preserved >_50% variable variable INVESTIGATIONS Improve myocardial
N contractility- drugs like
FRACTIO digitalis &
N sympathomimetic
prescribed
COMMO Coronary Hypertension, Pulmonary Coronary heart disease, Electrocardiograph Control fluid retention-salt
N artery disease, diabetes, obesity, hypertension, valvular heart disease y intake restricted, diuretics
CAUSES heart attacks, ageing, restrictive pulmonary advised
hypertension, cardiomyopathy embolism
cardiomyopath
y
SYMPTO Shortness of Shortness of breath, Swelling in legs Shortness of breath, Radiography of Reduce afterload- use of
MS breath, fatigue, fluid abdomen, fatigue, fluid retention, chest vasodialator recommended
fatigue, fluid retention especially fatigueShortnes orthopnea. Biochemical test
retention during exercise s breath
LEFT HEART FAILURE
Underlying Cause (e.g., Ischemic heart disease, Hypertension, Cardiomyopathy)
⬇
Left Ventricular Dysfunction (Systolic and/or Diastolic)
⬇
Decreased Cardiac Output
↓
➡ Reduced perfusion to organs
⬇
Activation of RAAS & Sympathetic Nervous System
⬇
Vasoconstriction & Fluid Retention → Worsens heart workload
⬇
Increased Left Ventricular End-Diastolic Pressure
⬇
Increased Left Atrial Pressure
⬇
Pulmonary Venous Congestion
⬇
Pulmonary Edema
Clinical Manifestations
Dyspnea
Orthopnea
Paroxysmal Nocturnal Dyspnea
Fatigue
Cough (especially at night)