Presentation
Reviews of systolic congestive HF, valvular heart disease, right HF and high output HF are presented elsewhere. [healio.com]
When a double aortic arch is present, two tubes develop which circle and compress the windpipe and/or food pipe. [nicklauschildrens.org]
Most patients will continue to present with residual cardiac anomalies, such as aortic or mitral valve regurgitation, arrhythmias or hypertension. The documents contained in this web site are presented for information purposes only. [orpha.net]
Tricuspid atresia: complete absence of the tricuspid valve; an ASD must be present to maintain blood flow. [patient.info]
Entire Body System
- Fatigue
You are comfortable when sitting or resting, but activity causes fatigue, palpitations or shortness of breath. [sjm.com]
We ask about general symptoms (anxious mood, depressed mood, fatigue, pain, and stress) regardless of condition. Last updated: May 13, 2019 [patientslikeme.com]
Exercise is generally important, however, individuals with LVNC may experience fatigue and shortness of breath with exercise. It’s important for these individuals to limit their activity if they become tired, dizzy or have difficulty breathing. [cincinnatichildrens.org]
Clinical description DOLV usually manifests during the neonatal period with cyanosis, tachypnea, exertional dyspnea, failure to thrive, sweating (especially during feeding), unresponsiveness and/or fatigue. [orpha.net]
Symptoms and severity of structural heart disease will vary depending from patient to patient, but the most common symptoms are: Chest pain or tightening Fatigue Heart palpitations/irregular heart beats High blood pressure Kidney dysfunction Leg cramping [uchospitals.edu]
- Fever
A patient with severe, untreated panhypoadrenocorticism and associated heart disease due to rheumatic fever and coronary atherosclerosis has recently been observed in whom the dominant clinical features were cardiomegaly and pulmonary edema. [annals.org]
Convert to ICD-10-CM : 429.9 converts approximately to: 2015/16 ICD-10-CM I51.9 Heart disease, unspecified Approximate Synonyms Cardiac disease postpartum Cardiac disorder due to typhoid fever Diastolic dysfunction Diastolic dysfunction (heart condition [icd9data.com]
Sometimes, the disease results from a triggering event many years earlier, such as rheumatic fever. Bacterial infection, viral infection and inflammation of valves (infective endocarditis) can produce changes in valve structure and function. [cvphysiology.com]
How will we evaluate chronic rheumatic fever or rheumatic heart disease? The diagnosis should be made in accordance with the current revised Jones criteria for guidance in the diagnosis of rheumatic fever. [ssa.gov]
Rheumatic Fever and Rheumatic Heart Disease Rheumatic fever is a disease caused by the body's inflammatory response to a bacterial infection caused by a group A streptococcus bacterial infection of the throat. [nicklauschildrens.org]
- Poor Feeding
Hypoplastic left heart syndrome symptoms include: Grayish-blue skin color (cyanosis) Rapid, difficult breathing Poor feeding Cold hands and feet Weak pulse Being unusually drowsy or inactive If the natural connections between the heart's left and right [mayoclinic.org]
feeding from becoming tired easily Bluish color of the skin and lips Clubbing (thickening of the nail beds) of toes and fingers (late sign) Failure to gain weight and grow Pale coloring Sweating Swollen legs or abdomen Trouble breathing Treatment requires [medlineplus.gov]
The patient often presents with a history of poor feeding, increased work of breathing, pale or gray coloration, and lethargy. [msdmanuals.com]
Cyanosis typically occurs and may be accompanied by increased dyspnea (shortness of breath) and poor feeding. [imaginis.com]
- Collapse
Babies developing severe cardiovascular and respiratory distress/collapse require urgent hospital admission, CXR, blood gases, assessment of renal function and electrolytes and assessment of other possible causes of cardiovascular collapse - eg, full [patient.info]
Echo is very important in the diagnosis to exclude extrinsic causes and to quantify, in particular, PASP, IVC diameter and collapsibility index and TAPSE. CT and cardiac MRI have been useful to elucidate the underlying pathology. [escardio.org]
Symptoms typically occur in the first week of life and include breathlessness and difficulty breathing, and may include collapse. [betterhealth.vic.gov.au]
Symptoms The most common signs of ventricular fibrillation are sudden collapse or fainting, because the muscles and brain have stopped receiving blood from the heart. [medicalnewstoday.com]
- Pallor
Subsequently, the clinical picture of cardiogenic shock (eg, tachypnea, dyspnea, weak pulse, pallor, cyanosis, hypothermia, metabolic acidosis, lethargy, oliguria or anuria) rapidly develops. [msdmanuals.com]
[…] valve of the heart is not formed properly) Pulmonary valve stenosis (narrowing of the pulmonary valve) Symptoms of DILV may include: Bluish color to the skin and lips (cyanosis) due to low oxygen in the blood Failure to gain weight and grow Pale skin (pallor [medlineplus.gov]
Instead, the left ventricle begins to fail, producing the following symptoms: Fast breathing Sweating Pallor Very fast heartbeats Decreased feeding Poor weight gain When a ventricular septal defect is not detected early in life, it can cause more severe [emedicinehealth.com]
Respiratoric
- Dyspnea
HOCM manifests with signs of reduced blood flow (dyspnea, dizziness, syncope). Both types are diagnosed with echocardiography. Even if most individuals are asymptomatic, it is important that they avoid strenuous exercise. [amboss.com]
Orthopnea and paroxysmal nocturnal dyspnea are related to congestion of the pulmonary blood vessels and edema of the lung tissues. [medical-dictionary.thefreedictionary.com]
When the legs are elevated at night, the fluid redistributes centrally, causing pulmonary edema that results in orthopnea (dyspnea while laying flat) or paroxysmal nocturnal dyspnea, or PND. [healio.com]
Abstract Although dyspnea on mild exertion is sometimes present, signs of frank heart failure—pulmonary edema, venous distention, hepatomegaly, peripheral edema—are rarely seen in untreated patients with Addison's disease (1, 2); indeed, only one report [annals.org]
In paroxysmal nocturnal dyspnea (PND), dyspnea awakens patients several hours after they lie down and is relieved only after they sit up for 15 to 20 min. [merckmanuals.com]
- Exertional Dyspnea
Clinical description DOLV usually manifests during the neonatal period with cyanosis, tachypnea, exertional dyspnea, failure to thrive, sweating (especially during feeding), unresponsiveness and/or fatigue. [orpha.net]
[…] heart failure via the following mechanisms: Right-sided heart failure : decreased rRV output → systemic circulation congestion → clinical features of right-sided heart failure (backward failure with predominant systemic congestion) Clinical features Exertional [amboss.com]
In LV failure, the most common symptoms are dyspnea and fatigue due to increased pulmonary venous pressures, and low CO (at rest or inability to augment CO during exertion). Dyspnea usually occurs during exertion and is relieved by rest. [merckmanuals.com]
Typical symptoms include exertional dyspnea and fatigue. [revespcardiol.org]
Gastrointestinal
- Abdominal Bloating
Hepatic congestion can cause right upper quadrant abdominal discomfort, and stomach and intestinal congestion can cause early satiety, anorexia, and abdominal bloating. [merckmanuals.com]
Cardiovascular
- Heart Disease
Risk factors The relative risk of recurrence of congenital heart disease increases if a first-degree relative has a congenital heart disease. [patient.info]
Heart disease is a term covering any disorder of the heart. [medicalnewstoday.com]
Some examples of cardiovascular diseases include ischemic heart disease, heart valve disease, cardiomyopathies, peripheral artery disease, congenital heart disease, and vascular disease of the kidneys. This study is located in Bethesda, Maryland. [nhlbi.nih.gov]
2012 ICD-9-CM Diagnosis Code 429.9 Heart disease, unspecified Short description: Heart disease NOS. [icd9data.com]
Valvular heart disease such as mitral stenosis technically causes heart failure due to diastolic dysfunction of the left ventricle. [healio.com]
- Palpitations
As left ventricular hypertrophy progresses, you may experience: Shortness of breath Fatigue Chest pain, often after exercising Sensation of rapid, fluttering or pounding heartbeats (palpitations) Dizziness or fainting When to see a doctor Seek emergency [mayoclinic.org]
You are comfortable when sitting or resting, but activity causes fatigue, palpitations or shortness of breath. [sjm.com]
The palpitations may be intermittent or may require medical intervention to resolve. [medicinenet.com]
Symptoms can include exercise intolerance—meaning you tire easily while exercising—and arrhythmias, which are irregular heart rhythms that may feel like heart palpitations or fast heartbeats. [nyulangone.org]
- Cardiomegaly
A patient with severe, untreated panhypoadrenocorticism and associated heart disease due to rheumatic fever and coronary atherosclerosis has recently been observed in whom the dominant clinical features were cardiomegaly and pulmonary edema. [annals.org]
Chest x-ray shows cardiomegaly and pulmonary venous congestion or pulmonary edema. ECG shows right ventricular hypertrophy and diminished left ventricular forces, though it may be within normal limits for a neonate. [msdmanuals.com]
[…] the mean for the child’s body surface area; or (C) Chest x-ray (6 foot PA film) is indicative of cardiomegaly if the cardiothoracic ratio is over 60 percent at 1 year of age or less, or 55 percent or greater at more than 1 year of age. [ssa.gov]
[…] it has a limited role in establishing etiology Atrial and/or ventricular dilation ↓ Left ventricular ejection fraction (LVEF) Wall motion abnormalities (e.g., inferolateral hypokinesis is seen in muscular dystrophy and acute myocarditis) Chest x-ray Cardiomegaly [amboss.com]
Nowadays, however, it is generally agreed that surgery should be offered before severe cardiomegaly develops, as this is associated with severe RV dilatation and systolic dysfunction. [revespcardiol.org]
- S3 Gallop
gallop Frequently asymptomatic Signs of left heart failure (dyspnea, syncope, dizziness) Arrhythmias S4 gallop Sudden death Signs of left heart failure and right heart failure Echocardiography LV cavity size Significantly increased Decreased Decreased [amboss.com]
Skin
- Sweating
The goal of therapy is to reduce the symptoms of congestive heart failure, such as poor growth and development, weight loss and/or poor weight gain, excessive sweating, and fast breathing. [emedicinehealth.com]
Clinical description DOLV usually manifests during the neonatal period with cyanosis, tachypnea, exertional dyspnea, failure to thrive, sweating (especially during feeding), unresponsiveness and/or fatigue. [orpha.net]
Rapid breathing Rapid heartbeat Symptoms of DORV may include: Poor feeding from becoming tired easily Bluish color of the skin and lips Clubbing (thickening of the nail beds) of toes and fingers (late sign) Failure to gain weight and grow Pale coloring Sweating [medlineplus.gov]
Other symptoms of a heart attack include: pain that travels through the body, for example from the chest to the arms, neck, back, abdomen, or jaw lightheadedness and dizzy sensations profuse sweating nausea and vomiting Heart failure is also an outcome [medicalnewstoday.com]
[…] such as: a bluish tinge or color (cyanosis) to the lips, tongue, and/or nailbeds an increased rate of breathing or difficulty breathing poor appetite or difficulty feeding failure to thrive (weight loss or failure to gain weight) abnormal heart murmur sweating [kidshealth.org]
Workup
Blocks
- Right Bundle Branch Block
Left bundle branch block is important because (in contrast to right bundle branch block), left bundle branch block usually indicates that some form of underlying cardiac disease is present. [verywellhealth.com]
Left bundle branch block is important because (in contrast to right bundle branch block ), left bundle branch block usually indicates that some form of underlying cardiac disease is present. [verywell.com]
The ECG shows right bundle branch block with right ventricular hypertrophy. The chest radiograph often has distinctive features, with normal heart size and a dilated central pulmonary artery. [revespcardiol.org]
The normal cardiac conduction system delivers the electrical impulse to both the right and left ventricles simultaneously; however, in the presence of a left bundle branch block or right bundle branch block, the electrical impulse will reach one ventricle [healio.com]
bundle-branch block as per current recommendations by the European working group in CHD. [ahajournals.org]
T Wave
- T Wave Inversion
wave inversion, abnormal Q waves Laboratory: slightly ↑ troponin T;, ↑ BNP Echocardiography: apical left ventricular ballooning, ↓ LVEF Coronary angiography: usually no pathological findings (e.g., no obstruction of coronaries by plaque rupture); a minority [amboss.com]
Arrhythmogenic right ventricular cardiomyopathy is a relatively rare disorder with ECG characteristics of T wave inversion in the anteroseptal leads and epsilon waves. [onlinelibrary.wiley.com]
Treatment
Treatment Treatment for transposition of the great vessels involves a procedure called balloon septostomy. [betterhealth.vic.gov.au]
Heart transplantation is another option for treatment of children with hypoplastic left heart syndrome, and remains an option even after staged surgical treatment. [mottchildren.org]
Treatment of the underlying disease Treatment of heart failure Sodium restriction ACE inhibitors, beta blockers, diuretics, digoxin See “Treatment” in CHF. [amboss.com]
Treatment for other types of cardiomyopathy - if someone has LVNC alongside another type of cardiomyopathy, they may need additional treatment. If someone does not have any symptoms, they will not usually require any treatment. [cardiomyopathy.org]
Prognosis
However, severity of disease and prognosis varies widely according to the genetic features involved. Certain genes are associated with a worse prognosis. [healthengine.com.au]
As patients with left heart disease and PH have a worse prognosis than those without, it has been assumed that improving the PA pressure should translate into an improved prognosis and survival. [phaonlineuniv.org]
Prognosis: Cardiac failure is never seen in fetal life as well as postnatally. [sonoworld.com]
Prognosis is poor and survival rates are low. [err.ersjournals.com]
Treatment and prognosis Hypoplastic left heart syndrome can be well-tolerated in utero due to the fetal right ventricle being the dominant chamber and the ductus arteriosus being patent. [radiopaedia.org]
Etiology
Pathophysiology Clinical features Diagnostics Pathology Treatment Complications Hypertrophic cardiomyopathy Epidemiology Etiology Pathophysiology Clinical features Diagnostics Pathology Treatment Restrictive cardiomyopathy Epidemiology Etiology Pathophysiology [amboss.com]
Pathophysiology | Etiology | Symptoms | Diagnosis | Treatment Introduction Congestive heart failure occurs when the cardiac output is not adequate enough to meet the demands of the body. [healio.com]
Etiology The etiopathology is not clearly understood. [orpha.net]
Surgical therapy appears to be superior to medical therapy. [30] Current hypotheses for the etiology of the sinus node dysfunction center on surgical trauma to portions of the sinus node region or its blood supply. [emedicine.medscape.com]
Epidemiology
Etiology Pathophysiology Clinical features Diagnostics Pathology Treatment Complications Hypertrophic cardiomyopathy Epidemiology Etiology Pathophysiology Clinical features Diagnostics Pathology Treatment Restrictive cardiomyopathy Epidemiology Etiology [amboss.com]
Summary Epidemiology Prevalence is unknown. The birth prevalence is estimated at less than 1/ 200,000 live births. [orpha.net]
Access is intended to spur hypothesis generation and testing, cross-cohort analysis of risk factors and outcomes, development of new signal processing tools, and to enhance training in clinical analysis, signal processing, epidemiological analysis, and [incosact.org]
Effect of Type 2 diabetes mellitus on left ventricular geometry and systolic function in hypertensive subjects: Hypertension Genetic Epidemiology. Network (HyperGEN) Study. Circulation; 2001; 103:102-107. [scielo.org.pe]
However, there is still a lack of understanding about its pathophysiology, epidemiology and treatment [ 1 – 14 ]; as such, there are numerous unmet needs for this condition ( table 2 ). [err.ersjournals.com]
Pathophysiology
Clinical features Diagnostics Pathology Treatment Complications Hypertrophic cardiomyopathy Epidemiology Etiology Pathophysiology Clinical features Diagnostics Pathology Treatment Restrictive cardiomyopathy Epidemiology Etiology Pathophysiology Clinical [amboss.com]
This article aims to provide an overview of the pathophysiology, diagnosis and treatment of RV failure. [cfrjournal.com]
Based on the pathophysiology’s mentioned above, the treatment will vary. [ncbi.nlm.nih.gov]
Pathophysiology | Etiology | Symptoms | Diagnosis | Treatment Introduction Congestive heart failure occurs when the cardiac output is not adequate enough to meet the demands of the body. [healio.com]
Pathophysiology of Right Heart Failure A common cause of right ventricular failure is left ventricular failure. [emsworld.com]
Prevention
Giving up smoking improves your overall health and prevents heart attacks. [mayoclinic.org]
Endocarditis Prevention Antibiotics to prevent endocarditis are needed before certain dental procedures. See the section on Endocarditis for more information. [heart.org]
Medication Early stages of heart failure may be treated with medications to help relieve your symptoms and prevent your condition from getting worse. [healthline.com]
The best way to prevent left ventricular hypertrophy caused by high blood pressure is to maintain healthy blood pressure. [drugs.com]
Prevention While you cannot prevent all risks factors associated with left-sided heart failure, you can take steps to lower, or in some cases even reverse, your risks of diseases or conditions that can cause or complicate left-sided heart failure. [baptisthealth.com]