Congestive Heart Failure!! - Rowan University

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Transcript Congestive Heart Failure!! - Rowan University

Congestive Heart
Failure!!
Question 1
What’s a symptom of congestive heart
failure??
A. shortness of breath
B. chest pain
C. No appetite
D. all of the above
Question 2
If you are looking diagnosis you look for the
signs of crackling in the heart or faulty valves
T/F
Question 3
Other options besides medications are heart
transplants and pace makers T/F
Question 4
Ways to prevent congestive heart failure?
A. quit smoking
B. Limit Alcohol
C. Get daily exercise
D. all of the above
Question 5
300,000 people die from congestive heart
failure every year T/F
What is Congestive Heart
Failure ??
Is a disease in which the heart can’t provide
enough rich oxygenated blood to the heart and
the rest of the body.
Causes of Congestive
Heart Failure?
1. Diseases that weaken the heart muscle.
Ex: Heart attack, and infections
2. Diseases that cause the stiffening of the
heart muscle.
Ex: Hemochromatosis and amyloidosis
3. Diseases that demand more oxygen for
tissues that the body can provide. (Kulick)
New York Heart Association (NYHA) Classification
System for Heart Failure!!
Doctors often use the New York Heart Association (NYHA) classification system to classify
symptoms of heart disease, including heart failure. The NYHA system can help doctors
determine the best course of therapy for heart failure patients. The system relates the
symptoms patients are having to the everyday activities that cause those symptoms to
get worse.
Unlike with other heart failure staging systems, the NYHA class can shift from one level to
another. This means that if patients are responding well to a treatment and getting
better, then their NYHA class would go down. If they are not responding to treatment
and their symptoms are getting worse, then their NYHA class would go up. (Stethoscope)
The different class
levels!!
Class I
(mild)
Patients have heart disease, but it does not limit their physical activity. Ordinary physical
activity does not cause tiredness (fatigue), heart palpitations, or shortness of breath
(called dyspnea).
Class II
(mild)
Patients are only slightly limited during physical activity. They are comfortable at rest, but
ordinary physical activity causes fatigue, heart palpitations, dyspnea, and chest pain
(angina).
Class III (moderate)
Patients are more limited during physical activity. They are comfortable at rest, but lessthan-ordinary activity causes fatigue, heart palpitations, dyspnea, and angina.
Class IV (severe)
Patients cannot do any physical activity without discomfort. Their heart failure symptoms
may be present all the time, even at rest. If patients try any physical activity, their
discomfort increases. (Stethoscope)
Symptoms Congestive
Heart Failure!!
Shortness and trouble of catching breath when
lying flat in bed
Feeling tired or weak and are unable to
perform everyday tasks when it comes to
exercise and other daily tasks.
Chest Pain
No appetite
Your skin tends to be sweaty and cold (Kulick)
How to figure out if someone
has congestive heart
failure?
Give a physical examination to the person
Listen to the chest of the person for any crackling
sound or faulty valves
Chest X-ray to examine the heart to see if its bigger
and has any fluid around it
EkG- to examine if there is stress or arrhythmia and
signs of previous heart attacks.
Encardiograph can be used to figure out if there is a
problem with the valves, heart walls or heart size.
(Stethoscope)
Medications for the
disease
Ace Inhibitors- blocks the formation of
angiotensin 2 which can have adverse affects
on the heart and the circulatory system with
patients with Heart Failure.
Ex: Captopril, Vasotec and Altace just to
name a few. (Kulick)
More Medication Options
Beta- Blockers - such a norepinephrine and
epinephrine stop the stimulating hormones on
the beta receptors of the tissues help depress
the function of the heart muscle.
Ex:Torporal XL and Coreg medicines
(KULICK)
Other Options
Heart Transplant- Usually given too people
that are under 70 years old and do not have
other medical problems.
Theres a long waiting list to get a heart
transplant, but only a select few can have the
operations due to the severity of the procedure
and the complications with it too.
Another less servere procedure could be
getting a pacemaker to help with the
contractions of the heart. (Stethoscope).
Video of the Heart
Problem
http://www.youtube.co
m/watch?v=JXA6LjmK
saU
Prevention Options!!
Get daily exercise to improve the strength of
the heart muscle.
Eat foods low in Na+ for the higher the Na+
content the more pressure that is exerted on
the walls of the arteries and veins.
Quit Smoking
Limit alcohol intake
Following these will help with the prevention of
the (CHF). (Stethoscope)
People Most likely to get
the disease?
Most people that develop the disease are
older aged men and women, but can occur in
children as well just not as common.
Estimated 500 million people in United states
have heart failure and an estimated 300,000
die from it.
People that usually get have diabetes, high BP
and or coronary artery disease.
(Heart Failure: MedlinePlus)
Research being done
Erectile disfunction is a predictor for older men
to have a heart failure problem.
Studies showed that people with (ED) and
(CVD) were more likely to suffer from heart
failure then guys with just (CVD).
There were 1,300 different men studied from
13 different countries.
The men also had higher prevalence for
hypertension and diabetes and stroke.
1.9 times more likely to die from
cardiovascular disease (Erectile Dysfunction)
Works Citied
"Erectile
Dysfunction Strong Predictor of Death, Cardiovascular Outcomes." AHA Newsroom. Web. 7
May 2010. <http://americanheart.mediaroom.com/index.php?s=43&item=986>.
"Heart Failure: MedlinePlus." National Library of Medicine - National Institutes of Health. Web. 7 May
2010. <http://www.nlm.nih.gov/medlineplus/heartfailure.html>.
Kulick, Daniel. "Congestive Heart Failure (CHF) Symptoms, Causes, Diagnosis, and Treatment
Information on MedicineNet.com." Congestive Heart Failure. Web. 10 May 2010.
<http://www.medicinenet.com/congestive_heart_failure/article.htm>.
Stethoscope, With A. "Congestive Heart Failure - Heart Information Center." Texas Heart Institute.
Web. 5 May 2010. <http://www.texasheartinstitute.org/hic/topics/cond/CHF.cfm>.