What Causes Congestive Heart Failure
There are several conditions that can impair the pumping efficiency of the heart. Below are a few common and rare conditions that can cause congestive heart failure:
- Coronary artery disease : This is the most common cause of congestive heart failure, as the arteries become blocked or severely narrowed, which decreases blood flow to the heart.
- Alcohol abuse
- Disorders of heart valves
- Thyroid abnormalities, viral infection, and heart rhythm abnormalities are a few rare cases that can cause congestive heart failure.
How Is Heart Failure Treated/managed
Treatment of heart failure depends on the underlying cause and this will direct the main treatment to prevent further deterioration. Heart failure can be cured if it has a treatable cause.
If the causes are due to coronary heart disease then the patient may require coronary stents or . If there is a heart valve cause, then the defective valve will need surgery to repair or replace the valve.
All heart failure patients will need:
- Lifestyle changes including eating a healthy diet, exercising regularly and stopping smoking and watching fluid intake and reduce alcohol consumption.
- Medicine a range of medicines can help many people need to take three to four different types which have evidence to show they strengthen the heart and improve prognosis. This includes beta-blockers, ACE inhibitors, ARNI and SGLT2 inhibitors. Other medicines, such as diuretics, may be used to help with the symptoms.
In cases where patients are seen to be experiencing continued deteriorating heart function despite the best and optimal medication, the following may be considered:
- Cardiac resynchronising therapy In very severe heart failure conditions, a specialised type of pacemaker has shown to benefit and improve symptoms as well as prolonging life by resynchronising the contractility of the two main pumping chambers of the heart.
- Cardiac transplant If there is no scope for recovery and the condition deteriorates then in suitable patients, a heart transplant may be considered.
What Can Hospice Do For The Family Of A Person With Heart Disease
Family members may have to make difficult healthcare and financial decisions, act as caregivers and provide emotional support to others. If the decision is made to stop medical support, some families experience strong emotions and feel overwhelmed.
Hospice offers comprehensive services for families of patients with heart disease:
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What Are The Complications Of Heart Failure
Some of the complications from heart failure include:
- Irregular heartbeat.
- History of taking drugs that can damage your heart muscle, such as some cancer drugs.
Stage B is considered pre-heart failure. It means your healthcare provider has given you a diagnosis of systolic left ventricular dysfunction but youve never had symptoms of heart failure. Most people with Stage B heart failure have an echocardiogram that shows an ejection fraction of 40% or less. This category includes people who have heart failure and reduced EF due to any cause.
People with Stage C heart failure have a heart failure diagnosis and currently have or previously had signs and symptoms of the condition.
There are many possible symptoms of heart failure. The most common are:
- Shortness of breath.
- Need to urinate while resting at night.
- Rapid or irregular heartbeats .
- A dry, hacking cough.
- A full or hard stomach, loss of appetite or upset stomach .
There may be times that your symptoms are mild or you may not have any symptoms at all. This doesn’t mean you no longer have heart failure. Symptoms of heart failure can range from mild to severe and may come and go.
Unfortunately, heart failure usually gets worse over time. As it worsens, you may have more or different signs or symptoms.Its important to let your doctor know if you have new symptoms or if your symptoms get worse.
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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How Is Heart Failure Treated
Your treatment will depend on the type of heart failure you have and, in part, what caused it. Medications and lifestyle behaviors are part of every treatment plan. Your healthcare provider will talk to you about the best treatment plan for you. Treatment is the same, regardless of gender.
As heart failure gets worse, your heart muscle pumps less blood to your organs, and you move toward the next stage of heart failure. Since you cant move backward through the heart failure stages, the goal of treatment is to keep you from moving forward through the stages or to slow down the progression of your heart failure.
Stage A treatment
The usual treatment plan for people with Stage A heart failure includes:
- Regular exercise, being active, walking every day.
- Stopping the use of tobacco products.
- Treatment for high blood pressure .
- Treatment for high cholesterol.
- Not drinking alcohol or using recreational drugs.
- Angiotensin-converting enzyme inhibitor or an angiotensin II receptor blocker if you have coronary artery disease, diabetes, high blood pressure, or other vascular or cardiac conditions.
- Beta-blocker if you have high blood pressure.
Stage B treatment
The usual treatment plan for people with Stage B heart failure includes:
Stage C treatment
The usual treatment plan for people with Stage C HF-rEF includes:
If the treatment causes your symptoms to get better or stop, you still need to continue treatment to slow the progression to Stage D.
Stage D treatment
Imaging And Other Tests
Other tests provide pictures of the heart and surrounding structures or show how well the heart is working:
- Electrocardiogram : An electrocardiogram test uses small sensors to measure heart rate , rhythm and electrical impulses.
- Chest X-ray: A chest X-ray is a picture of your lungs, heart and surrounding structures. It can show whether there is fluid in your lungs from heart failure, or if your heart muscle is enlarged.
- Echocardiogram : Echocardiography uses sound waves to create images of your heart. It can show how thick the heart muscle has become, as well as measure ejection fraction.
- MRI: MRI is an advanced imaging test that takes pictures of the heart and surrounding structures. It helps determine your heart function and size and whether there are any changes in the heart muscle. A cardiac MRI may help your doctors identify causes of heart failure.
Living With Congestive Heart Failure: What To Expect
Yes, there are several lifestyle changes you should take into account if youve been diagnosed with congestive heart failure. But remember your diagnosis doesnt mean you should necessarily stop doing things you love.
You are supposed to be exercising walking, biking, swimming, or doing light weight exercises, says Mountis. The American Heart Association recommends at least 30 minutes of moderate intensity aerobic activity at least five days a week for optimal heart health. Avoid exercises that make you feel breathless, and make sure to talk to your doctor before starting a new exercise routine.
Your healthcare provider will also likely suggest dietary changes that can help reduce the swelling associated with congestive heart failure and slow the progression of the condition. Those changes may include following a low- or reduced-salt diet, or reducing how much fluid you drink to lessen the bodys water content.
Other lifestyle changes that can slow the progression of heart failure include:
Do Dogs Have Heart Attacks
Although it is very rare, the unexpected and sudden death of dogs from heart disease is possible. Some of the main risk factors that increase a dogs chances of having a heart attack include obesity, diabetes, high blood pressure, and serious bacterial infections.
If you believe your dog is having a heart attack take them to the nearest emergency care facility as soon as possible. There is a version of CPR that can be performed on dogs, however, it requires special training to do it properly. If done incorrectly, CPR can result in further injuries to your dog and delay getting proper medical attention from a veterinarian.
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Early Attention To Heart Disease
Congestive heart failure is one of the leading causes of death in the elderly and is not curable. The best course is to avoid or treat early known causes of the disease to prevent or limit damage to the heart. See your doctor if you notice early signs that might indicate CHF such as shortness of breath or fluid in your legs.
What Are Symptoms Of Congestive Heart Failure
Early on, patients with heart failure may have no symptoms. As the condition progresses and worsens, symptoms may include:
- Trouble breathing/shortness of breath
- This may lead to decreased activity
- Difficulty breathing when lying down, which may cause people to need pillows to prop them up at night to sleep
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How Can Heart Failure Affect People Towards The End Of Life
At any stage of someones illness, heart failure can have a significant psychological impact on a person. People experience different emotions, including anger, sadness and worry. Life may feel very up and down, with good days and bad days. People can feel low about their symptoms and limitations, or they may feel that they lack control over their life. It can be particularly shocking for someone if they have been told their outlook is poor.
Symptoms can fluctuate at the advanced stage of heart failure, making it hard to estimate prognosis . This can make it difficult to know how and when to discuss the future and find out how someone would like to be cared for at the end of their life.
People with heart failure are more likely to have renal failure. Renal failure can make prescribing certain medications difficult which can, lead to more symptoms and discomfort.
How Is Chf Diagnosed
After reporting your symptoms to your doctor, they may refer you to a heart specialist, or cardiologist.
The cardiologist will perform a physical exam, which will involve listening to your heart with a stethoscope to detect abnormal heart rhythms.
To confirm an initial diagnosis, a cardiologist might order certain diagnostic tests to examine your hearts valves, blood vessels, and chambers.
There are a variety of tests used to diagnose heart conditions. Because these tests measure different things, your doctor may recommend a few to get a full picture of your current condition.
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Left Ventricular Assist Device:
- When your Heart exists enlarged, it requires pumping, which exists pumped through the left ventricular assist devices.
- A ventricular machine is embedded in your chest to improve the pumping activity when your Heart is enlarged.
- This device was previously only available in large hospitals, but todays technology has created a very small battery-powered device that allows many patients to leave the hospital.
- This device acts as a bridge for heart transplantation as a primary treatment.
How Long Can A 90 Year Old Live With Congestive Heart Failure
Although there have been recent improvements in congestive heart failure treatment, researchers say the prognosis for people with the disease is still bleak, with about 50% having an average life expectancy of less than five years . For those with advanced forms of heart failure , nearly 90 % die within one year .
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Interactive Multiple Choice Questions
This Education in Heart article has an accompanying series of six EBAC accredited multiple choice questions .
To access the questions, click on BMJ Learning: Take this module on BMJ Learning from the content box at the top right and bottom left of the online article. For more information please go to: Please note: The MCQs are hosted on BMJ Learningthe best available learning website for medical professionals from the BMJ Group.
If prompted, subscribers must sign into Heart with their journals username and password. All users must also complete a onetime registration on BMJ Learning and subsequently log in on every visit.
What Are The Stages Of Congestive Heart Failure In Cats
In stage A, a cat has heart disease, but doesnt have any symptoms. Stage B is when heart disease is present, but there arent any occurring symptoms. In stage C, heart disease symptoms have manifested themselves. Stage D is when a cat is experiencing congestive heart failure and treatment is necessary.
What Is The Life Expectancy For An Elderly Person With Congestive Heart Failure
In a recent study, it was reported that patients hospitalized with moderate systolic heart failure faced a median expected survival time of 2.4 years if they were aged 71 to 80 years and 1.4 years if they were aged 80 years or more. In patients with more advanced systolic dysfunction, life expectancy was even shorter.
What Can Hospice Do For A Patient With Congestive Heart Failure Or Heart Disease
Your hospice team evaluates the patients status and updates the plan of care as CHF or heart disease symptoms and conditions change, even on a day-to-day basis. The goal of hospice is to manage symptoms and relieve physical/emotional distress so patients can live as fully as possible, retain their dignity and remain comfortable at home.
The hospice plan of care treats a wide range of heart disease symptoms, including:
- Shortness of breath
- Functional decline
When you turn to hospice, you are not alone in your journey your hospice care team is educated and experienced in advanced cardiac care, such as:
- Monitoring and managing your symptoms
- Communicating with your cardiologists office to intervene early and stabilize worsening conditions
- Providing medication, oxygen and other medical equipment related to your heart disease
- Providing services to reduce acute symptoms and avoid re-hospitalization
- Providing an average of 5 home visits per week and proactive phone calls
Hospice offers comprehensive services for patients with heart disease, such as:
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Top Tips For Caring For Someone Who Needs Help Eating:
- Face the person so they can see you and their food.
- If the person normally wears glasses or hearing aids, help them to put them on. This will help them to see what youre doing and to hear what youre saying.
- Offer smaller meals or portions that dont overwhelm the person.
- Let the person eat slowly. Allow plenty of time for them to chew their food and swallow it. They might need to catch their breath before each mouthful.
- Watch for clues to help you tell when they have finished swallowing. If its hard to tell, ask the person if theyve finished or to open their mouth to see if there is any food left inside.
- For drinks, use a wide cup or glass, so the drinker doesnt have to tilt their head back. You could also use a straw, for cold drinks.
- Dont rush the meal. This could increase the risk of food entering the persons airways.
- Look out for signs of tiredness. If the person is getting sleepy, it is best for them to stop eating even if they havent finished their meal. This is because people are more likely to cough or choke on food.
- If possible, try and make sure the person waits at least 15 minutes before going back to bed or lying down. This reduces the chances of food and drink coming back up the throat and causing them to choke.
What Is The Prognosis For Stage C
The five-year survival of stage C heart failure is 75 percent, however, heart failure therapy is very successful in preventing the progression of heart failure, says Dr. Colvin.
Heart failure therapy includes taking medications as prescribed. It might mean surgery to implant devices such as an ICD to stop life-threatening heart rhythms or a pacemaker to help your heartbeat in a normal sequence.
And of course, embracing lifestyle changes that make it easier on your heart to function such as making these heart-healthy meals that cardiologists cook.
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Medical Procedure Cautious Decisions To Treat Fundamental Purposes Behind Cardiovascular Breakdown:
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Implantation of pacemakers and various devices like phony heart valves Fixing inherent Heart flees.
Life Expectancy Of Stage 4 Liver Cancer
Life Expectancy of Stage 4 Liver Cancer is not very impressing at all. The stage is concerned as one of the most critical Liver Cancer. The impact of the Liver Cancer Stage 4 is very bad, and the condition gets worse with time. On average patient may survive for 6 months. However, if the complexity of Liver is less then, people may survive for even couple of years. However, the life expectancy of Stage 4 depends upon the condition of the people.
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