How Is Heart Failure Treated
Your healthcare providers will help you manage any other health conditions that may be causing your heart failure. The goals of treatment are to manage, slow, or reverse heart damage. Treatment may include the following:
- Medicines may be given to help regulate your heart rhythm and lower your blood pressure. You may also need medicines to help decrease extra fluid. Medicines, such as NSAIDs, may be stopped if they are making your heart failure worse. Do not stop any of your medicines on your own.
- Cardiac rehab is a program run by specialists who will help you safely strengthen your heart. In the program you will learn about exercise, relaxation, stress management, and heart-healthy nutrition. Cardiac rehab may be recommended if your heart failure is not severe.
- Oxygen may help you breathe easier if your oxygen level is lower than normal. A CPAP machine may be used to keep your airway open while you sleep.
- Surgery can be done to implant a pacemaker or another device in your chest to regulate your heart rhythm. Other types of surgery can open blocked heart vessels, replace a damaged heart valve, or remove scar tissue.
What Are The Different Types Of Chf
Heart failure can occur on the left side of the heart, the right side, or both. Most commonly, it begins in the heartâs primary pumping chamber â the left ventricle. Each specific type of CHF is accompanied by its own distinct characteristics:
- Right-sided CHF âRight-sided CHF develops when the right ventricle struggles to deliver blood to the lungs. As blood backs up into the blood vessels, the body begins to retain fluid in the abdomen and lower body.
- Left-sided CHF âLeft-sided CHF is the most common form of CHF and begins when the left ventricle cannot effectively deliver blood throughout the body. Eventually, this can lead to fluid retention throughout the body, particularly around the lungs.
Cases of left-sided CHF can be further classified into one of two sub-types, characterized by the manner in which the ventricle is affected:
- Systolic CHF â Systolic CHF occurs when the left ventricle is unable to contract with enough force to circulate blood properly.
- Diastolic CHF âDiastolic CHF occurs when the heart muscle becomes stiff. Because the chamber must relax in order to fill with blood between contractions, this stiffness means that an inadequate amount of blood is available to pump out to the rest of the body.
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How Is Heart Failure Diagnosed
Tell your healthcare provider about your health history and the medicines you take. Tell him or her if you have a family history of heart failure or cardiomyopathy. He or she will ask about your shortness of breath and other symptoms. Your provider will make a diagnosis based on your physical exam, symptoms, and tests. The diagnosis may be left-sided or right-sided heart failure, or heart failure that affects both sides. You may need any of the following:
How Common Is Right
More than 6 million Americans have heart failure. Each year, more than 900,000 people receive a heart failure diagnosis.
Heart failure is rare in people younger than 50. With age, it becomes increasingly common. Studies have shown that around 2% of the population younger than 54 years old have heart failure. The number increases to around 8% about 1 in 12 for people over 75.
How Common Is Heart Failure
In the United States alone, more than six million adults have been diagnosed with heart failure.
Heart failure is usually divided into two categories based on which side of the heart it mainly affects. The right side of the heart collects oxygen-depleted blood from the body and brings it to the lungs to be filled with fresh oxygen. The left side of the heart receives oxygen-rich blood from the lungs and sends it out to the rest of the body.
While the end result is the same, symptoms can vary based on whether the right or left side of the heart is affected.
Verywell / Jessica Olah
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What Are The Symptoms Of Right
The main sign of right-sided heart failure is fluid buildup. This buildup leads to swelling in your:
- Feet, ankles and legs.
- Gastrointestinal tract and liver .
Other signs include:
Where you accumulate fluid depends on how much extra fluid and your position. If youre standing, fluid typically builds up in your legs and feet. If youre lying down, it may build up in your lower back. And if you have a lot of excess fluid, it may even build up in your belly.
Fluid build up in your liver or stomach may cause:
Once right-sided heart failure becomes advanced, you can also lose weight and muscle mass. Healthcare providers call these effects cardiac cachexia.
Treatment Of Heart Failure
Lifestyle modifications play a key role in preventing further deterioration of the heart muscles while reducing the risk of complications such as cardiac arrhythmias. Every patient after being diagnosed with heart failure, are advised to minimize the consumption of alcohol and to control their body weight. A small, low sodium and low salt diet is ideal for a heart patient. Bed rest is usually recommended since it minimizes the stress on the cardiac muscles.
The drugs given in the management of heart failure include
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Clinical Manifestations Of Heart Failure
The clinical manifestation of heart failure is largely influenced by the primary side of dysfunction as left sided, right sided or biventricular. Left ventricular dysfunction increases pulmonary pressure and consequently pulmonary congestion occurs leading to dyspnoea and tachypnoea . As the peripheral circulation is reduced , renal dysfunction, peripheral malperfusion and malabsorption of nutrition with the signs of cardiac cachexia develop. In a chronic state, the permanent activation of neurohumoral systems lead to further volume overload , peripheral vasoconstriction , increased heart rate at rest and during exercise, and to a further deterioration of the cardio-renal system. Anemia , increased pulmonary pressure and muscle fatigue deteriorate the symptoms of dyspnoea as well. Overload of the heart leads to enlargement of the heart itself and as a measure the cardiothoracic index increases with leftward shift of the palpable cardiac pulsation. Mostly in volume overload situations filling volume of the ventricle increases periodically and a typical 3rd or 4th heart sound as protodiastolic gallop occurs . In consequence, heart failure influences almost all organ systems and thus heart failure is a systemic disease or a syndrome with a broad clinical spectrum.
The Flow Of Blood Through Your Heart
To understand the different types of heart failure, it helps to know how your heart pumps blood:
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Pathophysiologic Characteristics: How Rv Dysfunction Occurs In Left
The right ventricle is a low-resistance and high-compliance chamber that maintains stroke volume and cardiac output according to venous return, resulting in a particular sensitivity to acute changes in RV afterload.9 It has been demonstrated that around 70% of patients with HF demonstrate RV dysfunction, which arises as a consequence of a series of mechanisms, primarily identified in an increased vascular impedance (ie, elevated left atrial pulsatile loading, superimposed pulmonary vascular
What Is An Ejection Fraction
An ejection fraction is a measurement, expressed as a percentage, of how much blood the left ventricle pumps out with each contraction. An ejection fraction of 60% means that 60% of the total amount of blood in the left ventricle is pushed out with each heartbeat. A normal ejection fraction is between 50% and 70%.
Organs like the kidneys require a certain amount of pressure as blood flows through them to work properly. A weak pump can reduce this pressure and in turn decrease the ability of other organs, like the kidneys, to do their jobs. This is how heart failure can lead to multiple organ failure and even death.
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Heart Failure Management Programs
Attending a specialised program for people with heart failure can reduce the risk of complications and having to go to hospital. Going to a program can also help you live longer and improve your quality of life.
Heart failure programs, sometimes called chronic disease management programs, are run by health professionals who work as a team to help you manage your condition. The team can include a heart failure nurse, a cardiologist, pharmacist, physiotherapist, dietitian or a psychologist.
When you attend a heart failure management program, youll get information to help you manage your condition. This can include:
- how to manage your heart failure medicines
- when to act if your symptoms get worse
- how to monitor your fluid levels and salt intake
If you have heart failure and havent been referred to a heart failure management program, ask your doctor to help you enrol. Some services are now available from your own home using telephone and internet services.
Left Side Of The Heart
The job of the heart muscle is to transport oxygenated blood coming from the lungs to the left atrium and on through to the left ventricle. The left ventricle is the main pumping portion of the heart. It is larger than the other chambers and plays a fundamental role in normal heart function. When there is HF on the left side of the heart, the heart muscle has to work harder to squeeze out the same volume of blood. This is referred to as left ventricular heart failure. It is the most common type of HF.1
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Diagnosis Of Heart Failure
A clinical suspicion of heart failure is confirmed through the following investigations.
This includes FBC, liver biochemistry, cardiac enzymes released in acute cardiac failure and BNP.
- Cardiac MRI. This is also called CMR
- Cardiac biopsy. This is carried out only when a cardiac myopathy is suspected
- Cardiopulmonary exercise testing
Treating Chf In Louisiana
For patients suffering from CHF, skilled medical treatment is critical to managing the condition and maintaining health. Cardiovascular Institute of the South is home to many renowned and respected cardiologists. Our physicians are experienced and highly-qualified in the treatment of congestive heart failure, along with all other forms of cardiovascular disease. To request an appointment at any one of our locations across south Louisiana and Mississippi, click the button below.
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Causes Of Heart Failure
Coronary heart disease is the major cause of heart attacks. A heart attack can cause scarring of the heart muscle, which means the muscle isnt able to pump blood and oxygen around the body properly. Risk factors for coronary heart disease include:
- electrocardiogram , to monitor the heart rate and pick up any unusual heart rhythms. An ECG can also help assess if the left ventricle is enlarged
- exercise tests or stress tests, to monitor how your heart works when youre physically active. These tests usually involve either walking on a treadmill or riding a stationary bike while connected to a heart monitor
- lung function tests, to assess how the lungs are working
What Is Heart Failure
Although the term heart failure suggests your heart isnt able to function at all, it actually means your heart muscles just arent functioning well enough to support your bodys needs. It develops when your heart muscles are either too weak or not elastic enough to pump blood properly. About 6.2 million people in the United States are living with heart failure.
Heart failure is usually a chronic and progressive condition, but it can develop quickly after a heart attack or other conditions that damage your heart. The most common cause of heart failure is coronary artery disease, which is a narrowing of the arteries that supply blood to your heart.
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What Is Congestive Heart Failure Right
Right-sided Congestive Heart Failure occurs when the right ventricle of the heart has difficulty pumping blood into your lungs. As a result, blood backs up in your blood vessels, that triggers fluid retention in the lower abdomen, extremities, and other vital organs. Right sided congestive heart failure can occur on its own, for example when triggered due to lung disease or heart valve disease. In severe cases, hepatomegaly can happen resulting in altering liver function, coagulopathy and jaundice.
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Why Choose Us For Advanced Heart Failure
Academic health systems like The University of Kansas Health System are able to care for the sickest patients with the most complex heart issues. Our patients come from all walks of life throughout the Kansas City region and beyond.
As the only hospital offering heart transplant surgery in Kansas, our hospital has become a destination for those seeking advanced heart failure treatment. Our heart failure and transplant services have been recognized for maintaining the highest standards of care.
- Our advanced heart failure program earned a perfect score from The American Heart Association/American Stroke Associationâs Get With The Guidelines program.
- Our participation in Get With The Guidelines demonstrates our commitment to quality care.
- The American Heart Association/American Stroke Association awarded us with the Gold Plus Achievement Award for heart failure as part of the Get With The Guidelines program.
- We have also made the honor roll for heart failure as part of Get With The Guidelines.
Rh Parameters Associated With Poor Prognosis In Left
Table 3 depicts several RH indexes investigated for prognosis in left-sided HF. The assessment of RV systolic function is a strong predictor of mortality in all HF phenotypes, whatever the parameter engaged. Chief among all, TAPSE is the most used RV systolic index and a strong predictor of mortality in HF.41 Albeit easy to obtain, TAPSE has several intrinsic limitations, such as load-dependency, that make its assessment biased in cases of even modest RV dilation. Indeed, independent groups
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What Is The Difference Between Left And Right
Heart failure can occur in the left side of the heart, the right side of the heart or on both sides. The major difference between left-sided heart failure and right-sided heart failure is in the side of the heart that is weakened. In left-sided heart failure, the left side of the heart is weakened and results in reduced ability for the heart to pump blood into the body. In right-sided heart failure, the right side of the heart is weakened and results in fluid in your veins, causing swelling in the legs, ankles, and liver.
To understand these conditions, it is important to know a little about how blood flows through the heart.
The heart is made up of four chambers. The upper chambers are called atria and the lower chambers are called ventricles. Each side of the heart has paired upper and lower chambers. Blood returns from the body and enters the right atrium. From there it moves to the right ventricle, which pumps it to the lungs where it is oxygenated. Blood moves from the lungs into the left atrium, down to the left ventricle and then out to the body to supply organs and tissues with oxygen and nutrients.
Advanced Heart Failure Diagnosis And Screening
Heart failure is diagnosed through careful medical evaluation, including a thorough physical exam, review of your medical history and cardiac tests and imaging. Some of the diagnostic tools used to detect heart disease include:
- Cardiac computerized tomography scan: A CT scan uses an X-ray to produce 3-dimensional images of your heart, chest and blood vessels.
- Chest X-ray: A chest X-ray allows your doctor to see a picture of your heart and lungs. This can be used to identify other conditions that may not be heart failure.
- Echocardiogram: An echocardiogram allows your doctor to see the size and shape of your heart, as well as anything unusual. Echocardiograms are also used to determine how well your heart is pumping, which is important for classifying heart failure.
- Electrocardiogram : An ECG can be used to detect heart rhythm problems or other heart abnormalities.
- Stethoscope: Your doctor may listen for abnormal sounds that may indicate heart failure.
Your doctor may order alternate or additional tests based on your unique circumstances.
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Pacemakers And Other Devices
The heart has its own electrical system that regulates the heartbeat. With every heartbeat, there’s an electrical signal that travels through your heart, causing it to contract and pump blood around the body.
For some people with heart failure, the electrical system doesnt work properly. People with heart failure have an increased risk of abnormal heart rhythms , like atrial fibrillation. If you have an abnormal heart rhythm, you may need a pacemaker or device to regulate the heart rate and rhythm.
Types Of Heart Failure
divides heart failure into one of three categories based on the part of your heart thats affected:
- Diastolic failure. This means your left ventricle doesnt relax properly due to stiffness and your heart doesnt fill with enough blood between beats, or the pressure for the heart to function is very high.
- shortness of breath when lying down
- sleeping on extra pillows at night
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