Heart failure discussion on occasion of world heart day

[gothamprince]

You can ask anything from pulse to pulseless

from the one aspiring to be one of the greatest cardiologists

let's make it the greatest thread ever

DEFINITION: Heart failure can be defined as left ventricular ejection fraction of < 50%, increased cardiac chamber size, left ventricular hypertrophy, moderate valvular disease

Heart failure can be basically said as inability of heart to pump enough blood to maintain blood supply to vital organs such as brain, kidney, liver etc or unable to stretch to accommodate enough blood to later be pumped out

SYMPTOMS

heart failure symptoms can be classified based on which side of the heart is failed 

Left side failure

-Breathlessness on exertion

-Orthopnea : breathlessness on immediate lying down so that they need to getup , these people start using pillows to compensate the feeling the more the pillows they use more severe is heart failure

-Paroxysmal nocturnal dyspnea : these people suddenly getup from the middle of the sleep usually after 3-4 hours of sleep then they sit at the edge of the bed dangling their legs or go near the open window to get fresh air ; sometimes they can't express the sensation they may complain of bad dreams

-Nocturia : increase in urine frequency during night time

-Cardiac asthma : asthma like symptoms this is the reason  most women are misdiagnosed with asthma and use asthma medications but remember new onset asthma will not not occur after 50-60 years so beware of asthma in elderly

Right side failure

-Swelling of lower limbs, or dependent areas, abdominal swelling

-decrease in appetite , nausea, vomiting

Low cardiac output symptoms

-Fatigue

-Mental confusion

-Cool skin [extremities]

-Bluish discoloration of fingers

FOLLOWING ARE THE PATIENTS AT RISK FOR HEART FAILURE

Patients with Hypertension, Coronary vascular disease, Diabetes, obesity, family history of cardiac disease or death [ all these patients are in Stage A  heart failure according to American heart association classification

Heart failure can be basically classified based on the underlying mechanism and treatment implications into 

-Heart failure with reduced ejection fraction [ systolic heart failure]

-Heart failure with preserved ejection fraction [ not exactly but can be described as diastolic heart failure]

ejection fraction is the percentage of blood pumped out of end diastolic volume [that is amount of blood pooled from heart relaxation]

 

Additional risk factors for Heart failure

chronic obstructive pulmonary disease

chronic kidney disease

chronic liver disease

cancer

obstructive sleep apnea

HIV

Covid 19

 

there is drastic rise in cases of heart failure with preserved ejection fraction in recent years mainly due to rise in Diabetes, obesity, hypertension

the thing is heart failure preserved ejection fraction is not yet studied completely the treatments are not yet completely proved but the best thing is it can be prevented with regular exercise and also it's outcome can be improved even after it's onset greatly by exercise

GUIDELINE RECOMMENDED MINIMUM PHYSICAL ACTIVITY  

150 minutes of brisk walking per week

or

75 minutes of jogging 

the more activity you do than this minimum activity the better the results

THE FOUR PILLARS OF HEART FAILURE TREATMENT

Angiotensin Receptor neprilysin inhibitor

Beta blockers

Mineralocorticoid receptor antagonists

Sodium glucose co-transporter inhibitor 2

 

 

[Jaggadonga]

30 minutes ago, gothamprince said:

You can ask anything from pulse to pulseless

from the one aspiring to be one of the greatest cardiologists

let's make it the greatest thread ever

DEFINITION: Heart failure can be defined as left ventricular ejection fraction of < 50%, increased cardiac chamber size, left ventricular hypertrophy, moderate valvular disease

Heart failure can be basically said as inability of heart to pump enough blood to maintain blood supply to vital organs such as brain, kidney, liver etc or unable to stretch to accommodate enough blood to later be pumped out

SYMPTOMS

heart failure symptoms can be classified based on which side of the heart is failed 

Left side failure

-Breathlessness on exertion

-Orthopnea : breathlessness on immediate lying down so that they need to getup , these people start using pillows to compensate the feeling the more the pillows they use more severe is heart failure

-Paroxysmal nocturnal dyspnea : these people suddenly getup from the middle of the sleep usually after 3-4 hours of sleep then they sit at the edge of the bed dangling their legs or go near the open window to get fresh air ; sometimes they can't express the sensation they may complain of bad dreams

-Nocturia : increase in urine frequency during night time

-Cardiac asthma : asthma like symptoms this is the reason  most women are misdiagnosed with asthma and use asthma medications but remember new onset asthma will not not occur after 50-60 years so beware of asthma in elderly

Right side failure

-Swelling of lower limbs, or dependent areas, abdominal swelling

-decrease in appetite , nausea, vomiting

Low cardiac output symptoms

-Fatigue

-Mental confusion

-Cool skin [extremities]

-Bluish discoloration of fingers

FOLLOWING ARE THE PATIENTS AT RISK FOR HEART FAILURE

Patients with Hypertension, Coronary vascular disease, Diabetes, obesity, family history of cardiac disease or death [ all these patients are in Stage A  heart failure according to American heart association classification

Heart failure can be basically classified based on the underlying mechanism and treatment implications into 

-Heart failure with reduced ejection fraction [ systolic heart failure]

-Heart failure with preserved ejection fraction [ not exactly but can be described as diastolic heart failure]

ejection fraction is the percentage of blood pumped out of end diastolic volume [that is amount of blood pooled from heart relaxation]

 

Additional risk factors for Heart failure

chronic obstructive pulmonary disease

chronic kidney disease

chronic liver disease

cancer

obstructive sleep apnea

HIV

Covid 19

 

there is drastic rise in cases of heart failure with preserved ejection fraction in recent years mainly due to rise in Diabetes, obesity, hypertension

the thing is heart failure preserved ejection fraction is not yet studied completely the treatments are not yet completely proved but the best thing is it can be prevented with regular exercise and also it's outcome can be improved even after it's onset greatly by exercise

GUIDELINE RECOMMENDED MINIMUM PHYSICAL ACTIVITY  

150 minutes of brisk walking per week

or

75 minutes of jogging 

the more activity you do than this minimum activity the better the results

THE FOUR PILLARS OF HEART FAILURE TREATMENT

Angiotensin Receptor neprilysin inhibitor

Beta blockers

Mineralocorticoid receptor antagonists

Sodium glucose co-transporter inhibitor 2

 

 

Every one has to be worried about their heart health if they eat unhealthy and lazy. I personally feel a pinch like pain occasionally on my left chest area, is this a sign of weak heart?

[gothamprince]

11 minutes ago, Jaggadonga said:

Every one has to be worried about their heart health if they eat unhealthy and lazy. I personally feel a pinch like pain occasionally on my left chest area, is this a sign of weak heart?

any chest pain should be evaluated but in general chest pain due to cardiac cause is heaviness in chest or crushing pain but it cannot be localised to single point if you can show the area of pain with finger then most likely it's not ischemic pain also most important thing the duration of the pain if it is more than 10 minutes not likely of heart origin, also is it relieving on taking rest then it can be cardiac also other symptoms of excessive sweating during that time or racing heart or sensation of doom can point towards heart cause

hope this helps