Causes of acute heart failure

Written by Zhou Yan
Geriatrics
Updated on September 19, 2024
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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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What medicine is used for chronic heart failure?

Chronic heart failure is also relatively common in clinical practice. The treatment of heart failure mainly includes preventing and delaying the onset of heart failure, alleviating the symptoms of clinical heart failure patients, improving the long-term prognosis of patients, and reducing mortality. These are the treatment principles for heart failure. After the occurrence of heart failure, its treatment mainly includes the treatment of the basic etiology, as well as the elimination of various precipitating factors, such as infections, etc. The pharmacological treatment mainly includes several aspects: first, the use of diuretics; second, the use of renin, angiotensin, and aldosterone system inhibitors; third, the use of receptor blockers; and fourth, the correct use of positive inotropic drugs, etc. Heart failure can alleviate the clinical symptoms of patients through pharmacological treatments.

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Written by Zhou Yan
Geriatrics
51sec home-news-image

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 Liu Ying
Cardiology
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Symptoms of chronic heart failure

Chronic heart failure can be divided into left heart failure, right heart failure, and total heart failure. The symptoms of left heart failure primarily manifest as congestion in the pulmonary circulation, that is, a reduction in cardiac output. Patients may experience varying degrees of breathing difficulties, starting with exertional dyspnea, then orthopnea, followed by paroxysmal nocturnal dyspnea, and eventually acute pulmonary edema. Additional symptoms may include coughing, expectoration, hemoptysis, fatigue, tiredness, dizziness, reduced exercise tolerance, and symptoms of insufficient blood supply to organs and tissues, including oliguria and kidney damage. The symptoms of right heart failure can present as gastrointestinal symptoms, such as abdominal distension, loss of appetite, nausea, vomiting, and also exertional dyspnea. When both left and right heart failures occur, it is referred to as total heart failure. In cases of total heart failure, symptoms of both left and right heart failures may be present.

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Written by Zhang Yue Mei
Cardiology
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The basic etiology of chronic heart failure

Chronic heart failure is one of the most common complications of various organic heart diseases, and there are many causes of chronic heart failure. The main reason is due to primary diseases that have not been effectively treated. Long-term myocardial ischemia, hypoxia, excessive fatigue, emotional excitement, overeating, too full, constipation, and other reasons increase the cardiac burden, leading to chronic heart failure. People with organic heart disease must treat the primary disease under the guidance of a doctor. At the same time, pay attention to rest, avoid emotional excitement, eat easily digestible food, maintain a low-salt, low-fat diet, and ensure smooth bowel movements to prevent increasing the cardiac burden and causing heart failure.

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Written by Wang Li Bing
Intensive Care Medicine Department
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How is heart failure treated?

Heart failure is very common in clinical settings. The main treatments include strengthening the heart, diuresis, and vasodilation for symptomatic treatment. A mask or high-flow oxygen can be used if the patient's heart failure symptoms are difficult to correct, or if cardiogenic shock occurs. Aortic balloon counterpulsation and tracheal intubation can be adopted, with ventilator support for ventilation, and blood dialysis and other symptomatic supportive treatments can be used. Another point is to actively control or eliminate the causes of heart failure, etc.