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Congestive Heart Failure
Congestive Heart Failure

... Some studies have shown a possible benefit specifically in HF with statin therapy ...
Cardiovascular System Review Guide
Cardiovascular System Review Guide

... What is the basic anatomy of the human heart? (both internal and external) How do the chambers of the heart work together to successfully complete a full cardiac cycle? How do the valves and chambers work together on a functional human heart? What are possible problems that can occur within the hear ...
Introduction - Fullfrontalanatomy.com
Introduction - Fullfrontalanatomy.com

...  Pulmonary circuit carries carbon dioxide—rich blood from the heart to the lungs and back  Systemic circuit transports oxygen-rich blood from the heart to the rest of the body and back ...
Clinical profile of hospitalized patients with acutely decompensated
Clinical profile of hospitalized patients with acutely decompensated

... Goal: Heart failure(HF) is the leading cause of hospitalization in seniors and it often occurs in >70-year-old subjects. The population of Western countries is getting older, due to better treatment and salvage of patients with cardiovascular diseases. To analyze the clinical profile, management and ...
Intro to human heart - Kleins
Intro to human heart - Kleins

... The base of the heart points towards the right shoulder ...
heart failure
heart failure

... diastolic dysfunction has become critical for the appropriate care and management of patients with heart failure. Likewise, “congestive heart failure” is considered non-specific, outdated and inadequate to describe this condition. Heart failure including “CHF” must be specified as systolic or diasto ...
10 .Congenitally corrected TGA- A case diagnosed incidentally
10 .Congenitally corrected TGA- A case diagnosed incidentally

... embryological development, left-handed looping of the heart tube results in atrioventricular (AV) discordance and the aorto pulmonary septum fails to rotate 180°, resulting in ventriculoarterial discordance. Blood flows in an effective sequence, hence the name corrected; however, the right ventricle ...
Heart failure PHL461
Heart failure PHL461

... CO decreases and pulmonary venous pressure increases. As pulmonary capillary , pressure exceeds the oncotic pressure of plasma proteins , fluid extravasates from the capillaries into the interstitial space and alveoli, reducing pulmonary compliance and increasing the work of breathing. Lymphatic dra ...
Circulatory System
Circulatory System

... ○ Heart Disease: 611,000 people die In the U.S. each year from Heart Disease. ○ Heart Failure: This does not mean that your heart is failing it just means that it is not pumping as fast as it should. This causes water retention which leads to swelling and shortness of breath ○ Cancer: Leukemia also ...
Management of chronic heart failure
Management of chronic heart failure

... 3. Fasting Blood glucose :to evaluate for possible diabetes mellitus 4. Thyroid function tests : Since thyrotoxicosis can result in A. Fib, and hypothyroidism can results in HF. 5. Iron studies :to screen for hereditary hemochromatosis as cause of heart failure. 6. ANA : to evaluate for possible lup ...
Major Compulsory Revisions - Journal of Cardiothoracic Surgery
Major Compulsory Revisions - Journal of Cardiothoracic Surgery

... Heart failure is the final stage for several types of heart diseases and many related illnesses. Although the use of cardiotonic drugs, diuretics, β-blockers, and angiotensin-converting-enzyme inhibitors (ACEI) can improve the cardiac function in patients with heart failure [1-3], the morbidity and ...
Hypertrophic Cardiomyopathy
Hypertrophic Cardiomyopathy

... The enlarged ventricular septum may obstruct the outlets to the aorta and/or pulmonary artery (PA), causing a heart murmur. This is known as Obstructive Hypertrophic Cardiomyopathy. Many patients experience no symptoms except during periods of exertion, when chest pain and shortness of breath may oc ...
Step 2 Review Qns OBJECTIVES FOR THIS WEEK - med
Step 2 Review Qns OBJECTIVES FOR THIS WEEK - med

... palpitations and severe shortness of breath and coughing. She reports that she has had several episodes of palpitations in the past, often lasting a day or two, but never with dyspnea like this. She has a history of rheumatic fever at age 14 years. She is now 20 weeks pregnant with her first child a ...
Heart Physiology part 1
Heart Physiology part 1

... Heart Cardiac muscle is unique because it can contract spontaneously and independently even if all nervous connections to the heart are severed These contractions however, are not erratic but regular and steady in rhythm ...
DR. EUGENE BRAUNWALD RECEIVES HEART FAILURE
DR. EUGENE BRAUNWALD RECEIVES HEART FAILURE

... most commonly from heart attack or high blood pressure, and gradually loses its ability to pump enough  blood  to  supply  the  body's  needs.  Many  people  are  not  aware  they  have  heart  failure  because  the  symptoms  are  often  mistaken  for  signs  of  getting  older.  Heart  failure  af ...
The Heart
The Heart

... cycle of contraction and relaxation Contraction phase - systole Relaxation phase - diastole Complete cycle - 0.8 seconds Phases : relaxation period, ventricular filling, ventricular systole Normal heart rate - 75 beats/minute ...
pathophysiology
pathophysiology

... A) hypertrophy of the left ventricular wall B) hypertrophy of the right ventricular wall C) dilation of the left atrium D) regurgitation of the tricuspid valve 29. Many valvular stenosis and regurgitation disorders in adults have a common etiology. Which of the following can cause both types of valv ...
Heart Failure Associate Professor Rob Doughty Dept of Medicine
Heart Failure Associate Professor Rob Doughty Dept of Medicine

... onset of symptoms and signs, secondary to abnormal cardiac function • With or without previous cardiac disease • Systolic or diastolic dysfunction, abnormal rhythm, preload and afterload mismatch • Often life-threatening ...
What is Dilated Cardiomyopathy (DCM
What is Dilated Cardiomyopathy (DCM

... Dilated Cardiomyopathy is a disease of the heart muscle which causes the muscle wall to become weaker. This means that the heart is unable to pump effectively, and so more blood remains in the heart chambers causing them to become enlarged, or dilated. Eventually the heart will go into failure. Are ...
Testing in Heart Failure
Testing in Heart Failure

... failure is not done • Only in cases of certain possible diseases that invade the heart and therapies would be different ...
Name - Wilson`s Web Page
Name - Wilson`s Web Page

... ___ 1. Explain why the side of the heart on your left in diagrams is called the right side. ___ 2. What is meant by myocardium? ___ 3. What is the function of the Septum? ____4 . Name the four chambers in the order that blood would travel through them, starting from the vena cavas. ___ 5. What name ...
Heart Physiology
Heart Physiology

... •  Set  by  the  SA  node,  the  sinus  rhythm  is  set  at   75  impulses  per  minute.   •  The  total  Eme  of  heart  depolarizaEon  from  SA   node  to  the  last  of  the  ventricular  muscle  is   2/10  second.   •  Gap  ju ...
Hypertrophic Cardiomyopathy
Hypertrophic Cardiomyopathy

... Disease of the heart muscle Also known as HCM Mutation of one out of a number of genes Affects 1 in 500 people Famous for being leading cause of sudden cardiac death in young athletes ...
www.sjhg.org
www.sjhg.org

... fluid interferes with O2 exchange, aggravates shortness of breath •Shortness of breath during exertion, may be early symptoms > progresses > later require extra pillows at night to breathe > experience "P.N.D." or paroxysmal nocturnal dyspnea . •Pulmonary edema •Legs, ankles, feet- blood from feet a ...
The Electrocardiogram
The Electrocardiogram

... Hollow muscular organ located within the center of the chest in the mediastinum. 60% is located to the left of midline 5”X3.5” approximately the size of a clenched fist. ...
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Heart failure



Heart failure (HF), often referred to as congestive heart failure (CHF), occurs when the heart is unable to pump sufficiently to maintain blood flow to meet the body's needs. The terms chronic heart failure (CHF) or congestive cardiac failure (CCF) are often used interchangeably with congestive heart failure. Signs and symptoms commonly include shortness of breath, excessive tiredness, and leg swelling. The shortness of breath is usually worse with exercise, while lying down, and may wake the person at night. A limited ability to exercise is also a common feature.Common causes of heart failure include coronary artery disease including a previous myocardial infarction (heart attack), high blood pressure, atrial fibrillation, valvular heart disease, excess alcohol use, infection, and cardiomyopathy of an unknown cause. These cause heart failure by changing either the structure or the functioning of the heart. There are two main types of heart failure: heart failure due to left ventricular dysfunction and heart failure with normal ejection fraction depending on if the ability of the left ventricle to contract is affected, or the heart's ability to relax. The severity of disease is usually graded by the degree of problems with exercise. Heart failure is not the same as myocardial infarction (in which part of the heart muscle dies) or cardiac arrest (in which blood flow stops altogether). Other diseases that may have symptoms similar to heart failure include obesity, kidney failure, liver problems, anemia and thyroid disease.The condition is diagnosed based on the history of the symptoms and a physical examination with confirmation by echocardiography. Blood tests, electrocardiography, and chest radiography may be useful to determine the underlying cause. Treatment depends on the severity and cause of the disease. In people with chronic stable mild heart failure, treatment commonly consists of lifestyle modifications such as stopping smoking, physical exercise, and dietary changes, as well as medications. In those with heart failure due to left ventricular dysfunction, angiotensin converting enzyme inhibitors or angiotensin receptor blockers along with beta blockers are recommended. For those with severe disease, aldosterone antagonists, or hydralazine plus a nitrate may be used. Diuretics are useful for preventing fluid retention. Sometimes, depending on the cause, an implanted device such as a pacemaker or an implantable cardiac defibrillator may be recommended. In some moderate or severe cases cardiac resynchronization therapy (CRT) may be suggested or cardiac contractility modulation may be of benefit. A ventricular assist device or occasionally a heart transplant may be recommended in those with severe disease despite all other measures.Heart failure is a common, costly, and potentially fatal condition. In developed countries, around 2% of adults have heart failure and in those over the age of 65, this increases to 6–10%. In the year after diagnosis the risk of death is about 35% after which it decreases to below 10% each year. This is similar to the risks with a number of types of cancer. In the United Kingdom the disease is the reason for 5% of emergency hospital admissions. Heart failure has been known since ancient times with the Ebers papyrus commenting on it around 1550 BCE.
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