Clinical manifestations of chronic heart failure

Written by Wang Li Bing
Intensive Care Medicine Department
Updated on September 26, 2024
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Chronic heart failure primarily includes left heart failure, right heart failure, and total heart failure. Clinically, left heart failure is the most common. The clinical manifestations of left heart failure primarily involve pulmonary congestion and reduced cardiac output, which can present as varying degrees of dyspnea, such as exertional dyspnea, orthopnea, and paroxysmal nocturnal dyspnea. Patients may experience coughing, expectoration, pink frothy sputum, fatigue, tiredness, dizziness, palpitations, and more. Right heart failure primarily manifests as gastrointestinal and liver congestion, causing abdominal distension, poor appetite, nausea, vomiting, and more. Total heart failure naturally includes the clinical manifestations of both left and right heart failure.

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Written by Zhang Yue Mei
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Chronic heart failure means

Chronic heart failure refers to a condition where the heart is unable to effectively pump blood throughout the body to meet the needs of vital organs, leading to a series of clinical symptoms caused by venous congestion and arterial ischemia. Symptoms include post-activity palpitations, orthopnea, swelling of the lower limbs, and enlarged liver. This condition causes great distress to patients and requires long-term use of effective medications to alleviate chronic heart failure. Patients with chronic heart failure need to ensure adequate rest, avoid overexertion, adhere to a low-salt diet, and limit the intake of spicy and greasy foods to prevent exacerbation of heart failure.

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Written by Wang Li Bing
Intensive Care Medicine Department
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What are the causes of chronic heart failure?

Chronic heart failure is also relatively common in clinical settings, mainly referring to patients with existing heart diseases. If a patient with a long history of hypertension experiences lung infection and fatigue, it can trigger an acute episode of chronic heart failure. At this time, the patient may experience symptoms such as difficulty breathing and fatigue. It is crucial to seek prompt medical attention, where common clinical treatments include cardiotonic, diuretic, and vasodilator therapies. For chronic heart failure, treatment should also actively address and remove the underlying causes and treat the primary disease to save the patient's life.

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Written by Zhou Yan
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Causes of acute heart failure

Acute heart failure refers to the acute onset of heart failure or an exacerbated clinical syndrome, which can present as either newly developed acute or acute decompensation of chronic heart failure. Clinically, it is commonly divided into two main categories. One category is acute left heart failure, often caused by acute decompensation of chronic heart failure, or by acute coronary syndrome, hypertensive emergencies, acute cardiac valvular dysfunction, severe myocarditis, serious arrhythmias, and peripartum cardiomyopathy. The other category is acute right heart failure, which can be caused by right ventricular infarction, acute large pulmonary embolism, and right-sided valvular heart disease.

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Written by Wang Li Bing
Intensive Care Medicine Department
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Clinical manifestations of chronic heart failure

Chronic heart failure primarily includes left heart failure, right heart failure, and total heart failure. Left heart failure can present with varying degrees of respiratory difficulty, such as exertional dyspnea, orthopnea, and paroxysmal nocturnal dyspnea, etc. Secondly, symptoms can include coughing and expectorating, coughing up pink frothy sputum, and patients may experience fatigue, dizziness, and palpitations, among others. Right heart failure mainly manifests as gastrointestinal symptoms, such as abdominal distension, poor appetite, nausea, vomiting, etc. Total heart failure encompasses the clinical manifestations of both right and left heart failure.

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Written by Li Hai Wen
Cardiology
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Is there a cure for chronic heart failure?

Chronic heart failure is often a later stage of many diseases, and patients in this category typically exhibit symptoms of recurrent exertional dyspnea. These symptoms are often related to physical activity, overeating, or excessive and rapid infusion of fluids. Many patients often ask their doctors if there is hope for their chronic heart failure, and the answer is definitely yes. Currently, the pharmacological and device treatments for heart failure are highly effective. Under the guidance of a doctor, standardized pharmacological treatment can often effectively improve the symptoms of chronic heart failure.