• Congestive Heart Disease


    Congestive Heart Disease is the medical term is called the "Heart Failure or Cardiac Failure", is a medical emergency in which the amount of blood pumped by the heart per minute {someone in cardiac output (cardiac output)} are not able to meet the needs of the body's normal metabolism.

    The impact of rapid heart failure affect the lack of blood supply, thus leading to cell death due to lack of oxygen carried in the blood yand itself. Lack of oxygen supply to the brain (cerebral hypoxia), causing a person to lose consciousness and stop breathing suddenly that lead to death.

    Congestive heart failure in infants and children is a very common emergency health workers everywhere. Complaints and symptoms are so varied that it is often difficult to distinguish from other diseases beyond the heart.

    Conditions in heart failure does not mean that the heart stops working (cardiac arrest), but the heart is no longer able to pump blood as well as the daily duties of a person's body.

    • Classification of Diseases Heart Failure

    The heart chamber is divided into four chambers, namely the right Porch and foyer are separated by a septum left intratrial, then the room right and left ventricle are separated by the interventricular septum.

    Heart failure can occur on one side of the heart, such as congestive heart failure the left side or right side of the heart alone.



    • Causes of Congestive Heart Disease

    Heart failure can be caused by a primary disorder of heart muscle itself or the heart to excessive load or a combination of both. Broadly speaking, the factors likely to cause heart failure are people who have hipertenisi disease, hypercholesterolemia (high cholesterol), smoking, diabetes (diabetes), obesity (overweight) and someone who has a family history of heart disease and life course patterns are disorganized and lacking air-sports.
     
    • Signs and Symptoms of Heart Failure

    Signs and symptoms of heart failure can be distinguished by which part of the heart's impaired pumping of blood, more details as follows:

        1. Left heart failure; led to collection of fluid in the lungs (pulmonary edema), which causes severe shortness of breath. Shortness of breath initially felt only when someone is doing the activity, but in line with the worsening shortness of breath may occur when the patient is not doing the activity. While other signs are fatigue (fatigue), anxiety / worry (anxity), rapid heartbeat (tachycardia), cough and irregular heart rhythm degub (Arrhythmia).

        2. Heart failure while the right side; likely to lead to the collection of blood flowing to the right heart. So this causes swelling in the feet, ankles, legs, abdomen (ascites) and liver (Hepatomegaly). Other signs include nausea, vomiting, fatigue, rapid heart rate and frequent urination (urine) at night (nocturia).

    • Diagnosis of Heart Failure

    Usually, the diagnosis is confirmed by the signs and symptoms complained of or that looks directly at the examination. To confirm the diagnosis, the doctor will perform various checks, for example;

        1.  Physical examination, the pulse weak and rapid pulse, decreased blood pressure, abnormal heart sounds, enlarged heart, swollen neck veins, fluid in lungs, liver enlargement, rapid weight gain, swelling of the abdomen or legs.
        2.  X-ray examination or X-ray (X-ray), in the chest may reveal an enlarged heart and fluid collection in the lungs.
      3. Echocardiography examination (using sound waves to describe the heart) and electrocardiography (assessing the electrical activity of the heart).

    • Treatment of Heart Failure Disease

    In the management or treatment of patients with heart failure cases, there are three fundamental things that a reference, among others; Treatment of heart failure itself, Treatment of the underlying disease and treatment of precipitating factors.
    Included in Medical treatment is to reduce fluid and salt retention, increased cardiac contractility and reduces the load. While the handling is generally include rest, setting the temperature and humidity, oxygen, fluids and diet.

    The provision of drugs, such as inotropic drugs (digitalis, intravenous inotropic drugs), vasodilator drugs (arteriolar dilator: hidralazin), venodilator (nitrate, nitroglycerin), mixed dilator (prazosin, captopril, nitroprusid), diuretics, and medicines dysrhythmias.

    Surgery, this is usually done to cope with congenital heart disease (palliative, corrective) and acquired heart disease (valvuloplasti, valve replacement).

    • Heart failure disease prevention

    For those of you who feel the signs and symptoms as mentioned above, you should immediately memeriksaakan doctor. Reduce the factors that can cause heart failure condition, stop smoking, eat less fatty foods, try exercise, or a pattern of regular life danger.

    Certainly for those who suffered or suffer from diseases that can cause lead to attacks of heart failure should be routinely kontrolkan to a doctor, for example, people with high blood pressure (hypertension), diabetes (Diabetes), the buildup of plaque (cholesterol or other) in the coronary arteries (coronary Artery Disease).

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