Congestive Heart Failure

Congestive Heart Failure man

Overview of congestive heart failure

Incidences of cardiovascular diseases are on a steady rise. These are directly contributing to the co-morbidities and mortality rates. Earlier, heart diseases were associated with old age. But the increasing amount of stress, pathological and environmental factors in the recent years have lead to cardiovascular diseases in small children, teens, young and middle-aged adults as well. One alarming consequence of cardiovascular disorders is “Congestive Heart Failure”. It leads to death in the majority of the cases. Patients who survive have high risks of recurrent heart failure. According to the global statistics presented by the World Heart Federation, the mortalities reported annually due to congestive heart failure and other cardiac diseases are about 17.3 million.

 

What is congestive heart failure?

Congestive Heart Failure ekgCongestive heart failure is a complex medical condition wherein the heart fails to fill its chambers with blood or pump blood to the other organs. It is mainly precipitated by ventricular dysfunctions or some defects of the cardiac valves in general.

Under these conditions, the heart pumps blood under extremely high pressure. This leads to the failure of the ventricles to pump in or pump out blood.

Therefore the heart fails to meet the oxygen demands of the different organs of the body. Congestive heart failure leads to a reduced cardiac output, pulmonary vascular congestion and even death in most of the cases. Incidences of congestive heart failure follow an exponential curve, with 6-10% people above the age of 65 getting affected.

 

Causes of congestive heart failure

Congestive heart failure is attributed to the following factors-

  • Existing heart diseases like myocardial contusions, myocardial infarctions, myocardial ischemia, sepsis, dilated cardiomyopathy, arrhythmia, atherosclerosis, coronary artery disease or peripheral artery disease.
  • A history of rheumatic fever, hypertension, Diabetes mellitus or valve disease
  • Abnormal heart rhythm due to atrial fibrillation
  • High level of cholesterol (LDL cholesterol) in blood
  • Natural degeneration of ventricular valves and cardiac muscles with age
  • Plaque formation on the inner arterial walls leading to arterial constriction (common in the patients of obesity, hypertension and high blood cholesterol)
  • Excess intake of cardiotoxins such as tobacco and alcohol
  • Overuse of medications like chemotherapeutic drugs
  • Familial history of cardiac diseases
  • Complete lack of physical exercise
  • Congenital abnormalities such as defective valves (causes reverse flow of venous blood) or irregular contractions of cardiac muscles
  • Hereditary diseases like Hemochromatosis (excess iron deposition) and Amyloidosis (excess protein deposition)
  • Daily diet rich in cholesterol, animal protein and saturated fat
  • Physical and mental stress

 

What are the warning signs?

Congestive Heart Failure manThe common signs and symptoms of congestive heart failure are listed below-

  • Abnormal heart rate
  • A drop of blood pressure (especially in an upright position)
  • Pain, discomfort, and tightness around the chest
  • Dyspnoea ( breathlessness)
  • Orthopnoea (difficulty breathing while lying down)
  • Paroxysmal nocturnal dyspnoea (shortness of breath while sleeping)
  • A wheezing cough
  • Presence of blood in sputum generated during cough
  • Peripheral pitting edema due to fluid accumulation (in legs and hands)
  • Cold and clammy skin
  • Increased pressure on the jugular veins due to the build-up of fluid
  • Enlargement of the heart (cardiomegaly)
  • Generation of a third heart sound (gallop rhythm) between systolic and diastolic rhythms
  • Crackling sound generating from the lungs (crepitations)
  • Enlarged liver or Hepatomegaly (rare cases)
  • Abdominal distension due to fluid overload (ascites)
  • Bluish discoloration of the skin, also called Peripheral Cyanosis (due to vasoconstriction)
  • Fatigue and dizziness
  • Loss of appetite (anorexia)
  • Liver congestion
  • Disturbed sleep
  • Frequent need to urinate at night
  • Mental instability and cognitive impairment
  • Anxiety and panic
  • Nausea and vomiting
  • Gastrointestinal disorders

 

Types of congestive heart failure

Following are the two major categories of congestive heart failure-

  • Systolic heart failure: It is also known as Depressed Ejection Fraction. In this condition, the vascular resistance increases abnormally. This affects the contractility of the cardiac muscles, leading to impaired pumping of blood to the other organs. Coronary Artery disease combined with Hypertension and Diabetes leads to this kind of heart failure.
  • Diastolic heart failure: It is also called Preserved Ejection Fraction. It is characterized by an abnormal increase in the contractions of the cardiac muscles. This leads to reduced relaxation of these muscles. The walls of the auricular and ventricular chambers become thickened, leading to impaired filling and ejection of blood from the heart. Hypertension combined with restrictive cardiomyopathy and valvular heart diseases increase the risks of diastolic heart failure.

 

Stages of congestive heart failure

Congestive heart failure is a progressive phenomenon that occurs through the following stages-

Stage I: In this stage, the person is at high risks of heart failure but does not exhibit related symptoms or have any structural heart disease.

Stage II: The patient has structural heart disease, but does not exhibit symptoms of heart failure.

Stage III: The patient has structural heart disease, along with current or past symptoms of heart failure.

Stage IV: Actual heart failure (refractory heart failure) occurs in this stage and requires emergency hospitalization.

 

Diagnosis

Congestive heart failure is usually detected through the following diagnostic techniques-

  • Chest Radiograph (to detect cardiac enlargement or pulmonary oedema)
  • Echocardiogram (measures systolic and diastolic ventricular contractile functions)
  • Electrocardiogram ( can detect the presence of coronary artery disease or ventricular hypertrophy)
  • Endomyocardial biopsy (to detect myocarditis or cardiotropic viruses)
  • Chest X-ray
  • Lipid profile test
  • Lymes serology
  • Urinalysis

 

Treatment and prevention

Congestive Heart Failure AEDThere are no permanent cures for congestive heart failure. Medications and lifestyle improvements only can help the patient.

  • Medicines such as vasodilators, diuretics, ACE inhibitors, beta-blockers, and anticoagulants are prescribed to the patient that improve heart function and blood circulation.
  • Lifestyle changes advised to congestive heart failure patients include avoiding high sodium and caffeine intake, limiting certain fluid intake, and maintaining healthy BMI.
  • Treatment of obstructive sleep apnea can also help in reducing the symptoms of congestive heart failure.

Prevention of congestive heart failure can be done by:

  • Exercising regularly and maintaining a healthy weight.
  • Having healthy dietary habits such as eating whole grains, lean proteins, and fresh fruits and vegetables.
  • Refraining from drinking, smoking, and indulgence in recreational drugs.
  • Getting enough sleep and effectively reducing stress are also important in keeping cardiac issues away.

Facts

  • The term “congestive” refers to the fact that there is fluid accumulation in different parts of body due to improper circulation of blood within the body.
  • Congestive heart failure doesn’t necessarily mean that your heart has stopped beating. It means that the heart is unable to adequately pump blood.

Facts

  • Currently almost 5 million Americans are affected by heart failure and this figure is expected to double in the next 5 years.
  • 1 out of every 100 individuals above the age of 65 years is affected by heart failure.

Facts

  • Globally, more than 22 million people are affected by heart failure with the associated costs being as high as $ 80 billion per year.

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Dos and Don'ts

Dos
  • If you have been diagnosed with a cardiac condition it is important to take your medicines regularly, same time each day.
  • Always contact your doctor if you experience any side effects from the medicines.
  • Keep your weight in check. Remain physically active but don’t overdo your exercises.
  • Consume not more than 1500-2000 mg of sodium per day.
Don'ts
  • Wait for your heart medications to run out before going for a re-fill. Keep an adequate stock of the medicines always.
  • Eat double the medicine dose if you miss out on one dose.
  • Consume a high salty diet. Also stay away from processed meats, canned foods, and sugary drinks.

 

 

 

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Carrageenan: How a simple seaweed extract could better your gut health & immunity Eat more ice cream to prevent cold and flu? –With carrageenan you get one simple seaweed extract that…
Salt dangers
Sodium chloride: The wonders and dangers of the simple table salt Sodium chloride is a salt containing sodium and chlorine ions at a 1:1 ratio. It is edible and…
The complete “what to eat” guide for gluten intolerance Does eating breads and pastas often makes you nauseous? Gluten intolerance is a common reason why you might…
The right way to prepare Alfalfa sprouts at home Alfalfa or lusan ghas is not just a nutritious animal fodder. This flavonoid-rich herb has some amazing health…
Find all the instant ways to get rid of blackheads Blackheads - Not only are they aesthetically unappealing but if left untreated these can cause bacterial overgrowth on…
Pescatarian Diet 101: What are the inherent health advantages of this diet? People opt to become a pescatarian in order to enrich their bodies with the essential health benefits that…
Is bronchitis contagious? And how to prevent this infection? It is acute bronchitis that is contagious which means you can contract it from another person or you…
How to scrub away stress and fatigue with an Epsom salt bath? Epsom salt is a popular home remedy for many skin ailments. Though there is a lack of scientific…
11 unbelievable health benefits of thyme you didn’t know! Thyme is a herb that has been used in alternative medicine.It is a well known seasoning in the…
sleep deprivation
Don’t let your sleep deficit grow into memory loss or heart attack Why is sleep important for us? How could sleep deprivation harm you? We bet you didn't know about…
L-theanine attention
L-Theanine: Better sleep, higher focus, and many other benefits Did you know that L-theanine found in green tea can make you sleep better and be focused at…
improve digestion weight loss
Power up your gut: 8 proven steps on how to improve your digestion Did you know you have a colony of bacteria in your gut that help you in digesting food?…
Oxalates: How healthy greens can sometimes be bad news for your kidneys Oxalates are compounds present in a majority of healthy foods. However, at times an overconsumption of these could…
Inversion Therapy: The anti-gravity way of healing chronic back pain Inversion therapy involves suspending a person upside dow using different types of equipment. This works by taking the…
vdrl test syphilis
VDRL Test The VDRL test is a blood test that is used to diagnose sexually transmitted or venereal diseases, primarily…
complement c4 test
Anemia Profile Anemia Profile test (Basic) is a blood screening test that measures the levels of important components of the…
immunoglobulin M
Immunoglobulin M Test Immunoglobulin M is the largest and the first produced antibody which helps in the prevention or fighting of…
shoudler exercises
Keep your shoulders pain-free with these shoulder exercises Shoulder exercises are important in order to prevent chronic back and neck pain. Learn more about how you…
sugar toxic health
Sugar: 7 new shocking truths revealed about the sweet poison Can drinking soda bring you closer to death? Is sugar slowly poisoning you and your family? You would…
avocado benefits
Avocado: 15 reasons why this fruit should be a staple in your diet Did you know that the word avocado literally means "testicles". Don't get grossed out as this power-packed fruit…
edamame
Edamame: How healthy are these green baby beans? Edamame or "immature" soybeans are soft and easily digestable forms of soybeans that are great as an eveyday…
Peanut Butter: A spread of nutrients on your morning toast With tons of nutrients and powerful antioxidants swirling in every scoop, peanut butter is truly the one thing…