TREATMENT OF HEART FAILURE .
Heart failure can occur in people of all ages, even in small children (especially those who are born with a heart defect). But it is much more common in the elderly because older people are more likely to have diseases that damage muscle and heart valves. Thus the age-related changes in the heart tends to make the heart pump less efficiently. Heart failure develops in approximately 1100 people. The suffering will probably become more frequent because people are living longer and because some countries have certain risk factors for heart disease (such as smoking, hypertension and a diet high in fat) affects more people.
Heart failure does not mean the heart has stopped. This means that the heart can not follow the work needed to pump blood adequately all parts of the body (the workload). However, this definition is a bit simplistic. Heart failure is extremely complex and there is no simple definition can encompass its multiple causes, aspects, forms and consequences.
Heart failure is a chronic disease requiring lifelong treatment. But with treatment, signs and symptoms of heart failure can improve heart and sometimes strong. Doctors sometimes can correct heart failure by treating the underlying cause. Example. Repair of a heart valve or controlling a rapid heart rate may reverse heart failure, but for most people, treatment of heart failure involves a balance between the right medication and in some cases, the devices that help the heart beat and contract properly.
LIFE STYLE CHANGES .
Continue............
Treatment of heart failure medications
Treatment of heart failure surgery
Heart failure can occur in people of all ages, even in small children (especially those who are born with a heart defect). But it is much more common in the elderly because older people are more likely to have diseases that damage muscle and heart valves. Thus the age-related changes in the heart tends to make the heart pump less efficiently. Heart failure develops in approximately 1100 people. The suffering will probably become more frequent because people are living longer and because some countries have certain risk factors for heart disease (such as smoking, hypertension and a diet high in fat) affects more people.
Heart failure does not mean the heart has stopped. This means that the heart can not follow the work needed to pump blood adequately all parts of the body (the workload). However, this definition is a bit simplistic. Heart failure is extremely complex and there is no simple definition can encompass its multiple causes, aspects, forms and consequences.
Heart failure is a chronic disease requiring lifelong treatment. But with treatment, signs and symptoms of heart failure can improve heart and sometimes strong. Doctors sometimes can correct heart failure by treating the underlying cause. Example. Repair of a heart valve or controlling a rapid heart rate may reverse heart failure, but for most people, treatment of heart failure involves a balance between the right medication and in some cases, the devices that help the heart beat and contract properly.
LIFE STYLE CHANGES .
- Encouraged to stop smoking and support with smoking cessation.
- To tell and good nutrition and to provide assistance to reduce weight in obese patients. Cachexic patients (weight loss over 6 months in the past, a stable weight) should be evaluated by a dietician. Suggest a patient to avoid foods with high salt content and is not salt food.
- Salt intake should not exceed 2-3 g / day. Whereas a moderate sodium restriction severe CCF, make sure the low salt alternatives are not much use, because they can be very rich in potassium, which can be a problem in patients with ACE inhibitors or spironolactone.
- Tell patients with severe hyponatremia with CCF in particular, to limit their fluid intake sensibly. Avoid excessive dryness - especially in elderly patients with high-dose diuretics.
- Patients can help monitor their water retention by themselves regularly weighing. If a sudden, unexpected weight gain of 2 kg in 3 days, should seek advice.
- Some patients may benefit from the possibility of varying the dose of diuretic based on weight steadily. Self-weighing complement the ongoing monitoring of weight in the offices of general practitioners, hospital outpatient and inpatient services.
- Alcohol may act as a negative inotropic and blood pressure increases the risk of arrhythmia. Limit alcohol consumption to 10-20 grams / day (equivalent to 1-2 glasses of wine) or advise for or against, if the consumption of alcohol induced cardiomyopathy.
- Encourage aerobic exercise, preferably in a supervised cardiac rehabilitation program for patients with heart failure up to and including NYHA class III, which has proven beneficial effects.
- Air transport is not limited in stable patients (and perhaps preferable to other means of transportation for long trips), but the long-haul flights increase the risk of peripheral edema and deep vein thrombosis. Travel to high altitude and hot and humid to be very discouraged in symptomatic patients who can not adapt easily.
- There are no specific restrictions on sexual activity, although there is a slight risk of decompensation including NHYA class III-IV.
- Inform patients that symptoms such as breathlessness, palpitations, angina, it is unlikely unless the sexual experience similar symptoms of moderate physical activity (such as climbing two flights of stairs in a reasonable time).
- Sexual activity does not always cause symptoms, if included, after sleep, and minimal impact on partners most of the physical work. The most challenging times will have sex with a new partner after a hot bath or a full stomach. Sexual problems are common in patients with heart failure linked to heart disease at the same time, side effects of treatment (eg, beta-blockers) and psychological factors. risks of pregnancy, heart failure due to aggravation of blood volume and cardiac output, and many of its drugs are contraindicated during pregnancy.
- Potentially fertile women with heart failure should be obtained before the birth of advice, so that information about reproductive choice.
- Depression is very common in heart failure, occurring in at least one in five patients and significantly higher in patients with advanced illness. Screening and treatment should be considered in patients with symptoms.
Continue............
Treatment of heart failure medications
Treatment of heart failure surgery
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