Heart failure

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Written by Zhang Shu Kun
Traditional Chinese Medicine
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Where to massage for heart failure?

Patients with heart failure cannot be effectively treated by massage alone; it merely serves to alleviate symptoms. It is recommended to take medication for treatment purposes. However, massaging certain acupoints can be beneficial. Massaging the Neiguan point can significantly reduce symptoms of chest tightness and pain, and also alleviate fainting. Regularly massaging the Jiuwei point, also known as the Jianjing point, can effectively relieve angina caused by heart disease.

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Written by Zhang Yue Mei
Cardiology
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How is chronic heart failure treated?

Patients with chronic heart failure should avoid overexertion and ensure ample rest to prevent exacerbating the cardiac burden. Emotional upsets should be avoided as they can intensify heart failure. In terms of diet, avoid high-protein, easily digestible foods and consume more vegetables and fruits instead. Avoid overly salty foods as they contain a higher amount of sodium chloride which can increase blood volume and worsen heart failure. While treating the primary disease, efforts should be made to minimize the burden on the heart, utilizing effective diuretics to reduce blood volume and correct chronic heart failure.

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Written by Zhang Yue Mei
Cardiology
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"Heart failure"

Heart failure is one of the most common complications of various organic heart diseases. It occurs when the heart's contractile force or diastolic function is impaired, preventing blood from being delivered to vital organs and throughout the body, leading to clinical symptoms caused by venous congestion and arterial ischemia, called heart failure. Diseases that can cause heart failure include coronary heart disease, pulmonary heart disease, rheumatic heart disease, hypertensive heart disease, and viral myocarditis. Patients with heart failure need to use effective medications to treat the diseases causing heart failure while minimizing the burden on the heart. They should adhere to a low-fat and low-salt diet, ensure sufficient rest, maintain regular bowel movements to prevent the acceleration of heart failure. (Specific medications should be administered under the guidance of a physician.)

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Written by Wang Li Bing
Intensive Care Medicine Department
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Why does heart failure cause ascites?

Heart failure is relatively common in clinical settings, primarily divided into left heart failure, right heart failure, and global heart failure. The clinical manifestations of left heart failure are mainly reflected in symptoms of pulmonary congestion. It can present as varying degrees of dyspnea, cough, expectoration, palpitations, and fatigue. Right heart failure is mainly due to obstruction of the inferior vena cava flow, leading to increased venous pressure and capillary pressure. This causes plasma components to extravasate and ultimately leads to the formation of ascites. Global heart failure includes the symptoms of both left and right heart failure. Therefore, it is essential to seek medical attention promptly after heart failure occurs.

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Written by Liu Ying
Cardiology
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Causes of chronic heart failure

Chronic heart failure is the terminal manifestation and leading cause of death in cardiovascular diseases. Although there has been significant progress in the treatment of heart failure in China, the number of deaths from heart failure continues to rise. Coronary artery disease and hypertension have become the main causes of chronic heart failure. Rheumatic heart disease and valvular heart disease are also causes of chronic heart failure. Valvular heart diseases, such as mitral stenosis, mitral regurgitation, aortic stenosis, aortic regurgitation, pulmonary valve diseases, and tricuspid valve diseases, can all lead to heart failure. Additionally, chronic pulmonary heart disease and high-altitude heart disease also have certain regional prevalences in China.

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Written by Zhang Yue Mei
Cardiology
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Treatment of Chronic Heart Failure

Chronic heart failure is a common and frequent disease in clinical practice, often caused by severe myocardial damage, which leads to insufficient myocardial contraction and results in inadequate peripheral blood supply. The primary principles of treatment are to reduce the heart's burden, enhance its contractile strength, decrease the heart's workload, and reduce the returning blood volume to alleviate the heart's burden. Treatment involves using vasodilators to decrease cardiac resistance, positive inotropic drugs to strengthen cardiac contraction, and diuretics and a low-salt diet to reduce cardiac volume and returning blood volume. By employing these methods, the symptoms of chronic heart failure can be improved.