HEART FAILURE
This is also referred to as Congestive heart failure. it is a clinical syndrome which occurs when the heart is unable to pump sufficient amount of blood to meet the metabolic requirement of the tissue for oxygen. It can also result from structural cardiac abnormalities which impair the ability of the ventricle to fill or eject blood. The heart is weakened and cannot pump enough blood as strongly as before this implies that less oxygen is reaching the organs and muscles which can cause tiredness or shortness of breath.
Etiology of cardiac failure:
• Systemic hypertension-The most common cause in 75% of cases
• Changes in the structure of the heart -changes in the valves causes volume and pressure overload
• Disease conditions-valvular
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Pharmacological Treatment-Angiotensin converting enzymes inhibitor (help in systolic heart failure), Angiotensin receptor blocker, diuretics, aldosterone antagonist (people with systolic heart failure can live longer with this medication), inotropes (used in severe heart failure), digoxin.
Surgery and medical devices-Coronary artery bypass surgery, Heart valve replacement surgery, implantable cardioverter defibrillators, biventricular pacing, ventricular assist devices, heart