- Heart failure - when the heart is unable to cope with the work
- Acute and chronic
What is heart failure and its causes and types
Heart failure - a condition caused by the inability of the heart to provide adequate blood flow to organs and tissues.
The main starting point of heart failure is a decrease in cardiac contractility. The reason for this can be an overload of the heart muscle pressure and blood volume in heart diseases
Heart defects - time heals?
private or failure of the heart muscle if it defeats (for example, myocardial infarction after myocardial condition
Myocardial infarction - the most formidable diagnosis
, Metabolic disturbances in the heart muscle).
Heart failure can be acute or chronic.
Acute heart failure
Acute heart failure is manifested cardiac asthma and pulmonary edema. Cardiac asthma - an attack of shortness of breath, reaching the degree of suffocation. Cardiac asthma is caused by swelling of the lung tissue. It develops most often in the elderly.
Start of attack is usually sudden, often it happens at night. The patient wakes up in a sweat with a sharp sense of lack of air, shortness of breath quickly comes to the degree of suffocation. It appears continuous dry cough
Dry cough - whether to worry about it?
Which is accompanied by the fear of death. Shortness of breath causes the patient to take a sitting position, which facilitates its condition. Sometimes there are small attacks: there paroxysmal cough, causing the patient to sit up in bed, palpitation, chest tightness.
Cardiac asthma attack duration - from several minutes to several hours. In severe attack of cardiac asthma, it can go into pulmonary edema.
Pulmonary edema - a condition caused by abundant propotevanie liquid part of blood in the lung tissue, and then into the alveoli (air sacs, which ends bronchi), which is manifested severe dyspnea, cyanosis and choking breath. Respiration rate in up to 30-40 breaths per minute, breathing audible in the distance. Provided copious frothy sputum, usually pink. Such patients are excited, they expressed fear of death. Pulmonary edema can result in death of the patient, if he just will not be helped.
Congestive heart failure
Chronic heart failure (CHF) is manifested by tachycardia (intense heartbeat), cyanosis of the skin, shortness of breath, swelling, enlargement of the liver, swelling and throbbing neck veins, impaired function of various organs and systems.
Tachycardia in the early stages of heart failure occurs during exercise, but the heart rate returns to the starting not earlier than 10 minutes. Later tachycardia
Tachycardia - the body to the limit?
Cyanosis (cyanosis) of the skin and mucous membranes is expressed more on the fingers, toes, ear lobes - where blood flow is small. The appearance of cyanosis is due to excessive absorption of tissue blood oxygen combined with inadequate blood oxygen saturation in the pulmonary capillaries.
Shortness of breath is the most frequent and early sign of heart failure. Shortness of breath is often accompanied by a cough. In the initial step occurs dyspnea on exertion, and then without it. The appearance of breathlessness due to the accumulation in the blood of lactic and carbonic acids and the change in the acidity of the blood as a result of its stagnation in the small (pulmonary) circulation.
Edema - one of the hallmarks of heart failure. In the early stages there may be hidden edema. Swelling first appear on the feet, lower back, then spread and cover the entire subcutaneous tissue.
Increased liver (sometimes to a significant size) due to the slowing of blood flow and overflow blood of hepatic veins and capillaries. Liver tense, painful, and later may appear signs of its function (eg, yellowness of the skin and mucous membranes). Venous stasis in this area leads to a stagnation in a large vein, blood was collected from all over the abdomen (IVC), which causes the fluid in the abdomen (ascites). Violated and kidney function and other internal organs.
Treatment of heart failure
For removal of the heart attacks of asthma and pulmonary edema parenterally (bypassing the gastrointestinal tract) is administered drugs that increase the heart muscle (cardiac glycosides) and decreases the amount of fluid in the lungs (diuretic).
Treatment of patients with CHF are beginning to limit physical activity and relieving mental stress. Appointed as a diet with restriction of salt (the salt attracts water, which contributes to overflow of liquid blood vessels).
Because drug therapy appointed interior cardiac glycosides, with gradual dose selected individually. Be sure to also prescribed diuretics in combination with drugs potassium (asparkamom, Pananginum). Potassium is necessary for the heart muscle was active, and output diuretics potassium, which contributes to the weakening of the heart muscle.
With chronic heart failure can and must be fought. And it's better to do it in the early stages.