Wednesday, April 13, 2011

Signs ,symptoms and treatments of right sided heart failure

RIGHT SIDED HEART FAILURE .

SIGN AND SYMPTOMS OF RIGHT HEART FAILURE  .

SYMPTOMS .
Symptoms of heart failure are traditionally and somewhat arbitrarily divided into "left" and "right" but recognizing the unilateral right and left ventricles of the heart supply the various parts of the circuit. But the heart is not only failed to return (in this part of the turnover, which takes place in the ventricle). historic failure of the right ventricle leads to congestion of systemic capillaries.

This creates the excessive accumulation of fluid in the body. This causes swelling under the skin (known as peripheral edema or anasarca) and generally affects the incriminating the first body (foot and ankle swelling because people who get up and sacral edema in individuals who are mainly located at the bottom).

Nocturia (frequent urination at night) can occur when fluid in the legs is returned to the bloodstream while lying down at night. In severe cases, progressive, ascites (accumulation of fluid in the abdominal cavity causing swelling) and hepatomegaly (enlarged liver) may develop. significant liver congestion can cause jaundice and liver failure and even coagulopathy (decreased blood clotting problems) may occur.


SIGN .
Physical examination may reveal peripheral pitting edema, ascites and hepatomegaly. jugular venous pressure is usually assessed as a marker of fluid, which can be aggravated by reflux hepatojugular. If the pressure increases ventriclar good, an increase in parasternal may be present, which means the compensatory increase in force of contraction.


TREATMENT .

Heart failure requires periodic monitoring of your health care provider. Aims of treatment include control of symptoms, reduce cardiac workload and improves cardiac function. All the underlying conditions and causes must be considered, if possible. The most common therapy for treatment of heart failure right on the left side of heart failure. valve surgery and procedures such as coronary artery bypass grafting (CABG) and angioplasty are the solution for some people.

CHANGES IN LIFE STYLE  .
Generally, you must reduce the salt in food, and drink lots of liquids. You should also consider slimming, if you are overweight, quit smoking, and avoid too much alcohol.

MEDICATIONS .

Diuretics (water pills) may help reduce fluid buildup. Furosemide or bumetanide can help moderate to severe symptoms. Hydrochlorothiazide, chlorthalidone, and chlorothiazide may be used for mild symptoms. Another drug, spironolactone, can prevent salt retention and help patients with severe heart failure.

Drugs that reduce the workload of your heart are ACE inhibitors, ARBs, and drugs such as hydralazine and nitrates of prolonged action. You can extend patients lives very patient with heart failure. Beta-blockers (like metoprolol or carvedilol) can help prevent death in some patients with heart failure. Digitalis may be prescribed to increase the contraction of heart muscles and help prevent hospitalization.

IMPLANTED DEVICES.

Some patients with ECG abnormalities may benefit from aa biventricular pacemaker, which helps both ventricles contract at the same time (CRT, cardiac resynchronization therapy). defibrillation device, such as implantable cardioverter defibrillator (ICD) helps some patients. CRT and ICD may be combined and implanted in a single device (biventricular pacemaker-ICD).


TRANSPLANT .

Patient with severe heart failure, which does not meet these treatments may require a heart transplant.

PROGNOSIS .

Heart failure is a severe disorder that has a possibility of reduced life expectancy. There is no cure, but many forms of heart failure can be controlled with medication and correction of underlying illnesses. Heart failure may take the form of a chronic disease, and is aggravated by an infection or other physical stressors.



No comments:

Post a Comment