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 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 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.

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Written by Liu Ying
Cardiology
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Can people with chronic heart failure smoke?

Patients with chronic heart failure should not smoke, as smoking can enhance the excitability of the sympathetic nervous system. Increased excitability of the sympathetic nervous system releases norepinephrine, elevating norepinephrine levels. This can cause peripheral vasoconstriction, increase the afterload on the heart, and accelerate heart rate. Both of these effects can increase myocardial oxygen consumption. Furthermore, norepinephrine has a direct toxic effect on myocardial cells, promoting myocardial cell apoptosis and participating in the pathological process of ventricular remodeling. Moreover, excitement of the sympathetic nervous system can also enhance myocardial stress, potentially promoting the occurrence of arrhythmias. Therefore, patients with chronic heart failure should not smoke.

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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 Liu Ying
Cardiology
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Causes of Heart Failure

Heart failure can be divided into acute heart failure and chronic heart failure. There are many causes of acute heart failure, such as acute coronary syndrome, hypertensive emergency, acute massive pulmonary embolism, right ventricular infarction, severe pulmonary hypertension, and so on. Chronic heart failure can also have many causes, for example, coronary artery disease and hypertension have become the main causes of chronic heart failure, rheumatic heart disease, and valvular heart disease can also cause chronic heart failure. Chronic cor pulmonale and high-altitude heart disease also have a certain incidence rate in China, among others.