"Heart failure"

Written by Zhang Yue Mei
Cardiology
Updated on September 05, 2024
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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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Clinical manifestations of chronic heart failure

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 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 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.

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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 Zhang Yue Mei
Cardiology
51sec home-news-image

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.