Symptoma

Systolic Heart Failure

Cardiac murmurs will be present if valvular heart disease is present, contributing to the HF such as aortic stenosis or mitral regurgitation. [healio.com]

Differential diagnosis A number of disease entities can mimic a heart failure presentation. [cancertherapyadvisor.com]

Clinical presentation and evaluation Clinical presentation Patients with SHF often presents with a combination of typical signs and symptoms of HF. However, these symptoms are heterogeneous and vary widely among patients [59,60]. [oatext.com]

In this retrospective study, researchers found that the diagnosis of systolic heart failure had been missed on first presentation for almost 50% of pediatric patients hospitalized with new-onset heart failure. [psnet.ahrq.gov]

A 74-year-old man with a history of hypertension and myocardial infarction that had occurred in the remote past presents with breathlessness on exertion. On examination, his pulse is 76 beats per minute and his blood pressure is 121/74 mm Hg. [nejm.org]

  • Family History of Heart Disease

    Major risk factors for HF include coronary artery disease, hypertension, hypercholesterolemia, diabetes, smoking, obesity, heart valve disease, familial history of heart disease, cardiomyopathies, and exposure to cardiotoxic agents such as alcohol, cocaine [nursingcenter.com]

  • Distractibility

    Health services need to plan to care for people regardless of age, although taking their age into account when deciding what they need, and should not be unduly distracted by age adjusted epidemiological trends. [heart.bmj.com]

  • Decreased Renal Function

    Patients with diastolic heart failure are sensitive to volume changes, and over-diuresis will reduce stroke volume and decrease renal function. The emergent treatment of acute heart failure is guided by the blood pressure. [reliasmedia.com]

    In patients with a decreased renal function, a loop diuretic is the mainstay of treatment. [textbookofcardiology.org]

  • Forgetful

    Don’t forget to take the poll. The results will be published in the next month’s issue. [clinicaladvisor.com]

  • Neglect

    […] not be accompanied by LVSD. 6, 24, 39 Although these patients have a better prognosis, they are still at increased risk, especially if they have raised values of natriuretic peptides. 4 However, patients at greatest risk are those most likely to be neglected [heart.bmj.com]

CHF is diagnosed based on clinical presentation and requires an initial workup to assess disease severity and possible causes. Initial workup includes measurement of brain natriuretic peptide levels, chest x-ray, and an ECG. [amboss.com]

Identification of the cause of HF is essential in the diagnostic workup, as this may offer specific therapeutic opportunities (i.e. if HF results from valvular causes, surgery may be curative). [pharmaceutical-journal.com]

The ESC diagnostic workup of systolic heart failure Diagnosis of SHF is based on acute or non-acute onset. ECG and chest x-ray is the recommended initial tests for both acute and non-acute onset of HF to determine signs and symptoms. [oatext.com]

If the diagnosis is confirmed, consideration should be given to an extended diagnostic workup for etiologies of heart failure, including connective tissue diseases (e.g., antinuclear antibodies), hemochromatosis (percent transferrin saturation, ferritin [thecardiologyadvisor.com]

  • Trypanosoma Cruzi

    In many developing nations, the most common cause of systolic HF is Chagas disease, which is related to Trypanosoma cruzi and transmitted by triatomine bugs. [healio.com]

Treatment for Diastolic Heart Failure The treatment of diastolic heart failure is less well defined than the treatment of systolic heart failure. [reliasmedia.com]

A review published in 2017 looked at 57 previous trials involving combination treatments. [healthline.com]

Left Ventricular Assist Devices (LVAD) — UPMC cardiologists have been on the leading edge of LVAD treatment since the technology was introduced in the 1980s, and have been leaders in improving the technology since then. [upmc.com]

Kaohsiung City 83301 Taiwan 886 (0)773171238300 [email protected] Sponsor type Hospital/treatment centre Website Funders Funder type Hospital/treatment centre Funder name Chang Gung Medical Foundation Alternative name(s) Funding Body Type private sector [isrctn.com]

ESC guidelines for the diagnosis and treatment of acute and chronic heart failure 2012: The task force for the diagnosis and treatment of acute and chronic heart failure 2012 of the European Society of Cardiology. [nursingcenter.com]

Key words: heart failure, epidemiology, prognosis, analysis of survival Most of the knowledge regarding prognosis in heart failure originates from studies in patients with chronic heart failure 1-3. [scielo.br]

and those without LVSD or an elevation in NT-proBNP a good prognosis. [heart.bmj.com]

Researchers note that systolic blood pressure may be an indicator of the stage of heart failure with lower systolic blood pressures indicating more advanced disease and prognosis. [sciencedaily.com]

METHODS AND RESULTS The clinically overt DHF and SHF appear to be 2 separate syndromes with distinctive morphologic and functional changes although signs, symptoms, and prognosis are very similar. [semanticscholar.org]

Diagnosis, prognosis, and management of acute myocarditis are also discussed. [ncbi.nlm.nih.gov]

In the present cohort, the chagasic etiology seems to signal a worse prognosis as compared with ischemic, hypertensive, and dilated heart disease. A specific study to test the hypothesis regarding etiology and mortality should be carried out. [scielo.br]

Key management points For most patients, a systematic evaluation using history, physical examination, and a number of ancillary studies will help to discern the etiology of their chronic heart failure. [cancertherapyadvisor.com]

Pathophysiology Etiology Symptoms Diagnosis Treatment Special Situations Introduction Congestive heart failure occurs when the cardiac output is not adequate enough to meet the demands of the body. [healio.com]

The study investigators found that groups did not differ for age (median 60 years), gender (19% women), ischemic etiology (59%), or medication. [acc.org]

[…] and pathophysiology Etiology: Heart failure is a clinical syndrome with heterogeneity in both etiology and pathophysiology. [oatext.com]

It is useful to put epidemiological statistics in context to test their validity against the perceived clinical activity. [heart.bmj.com]

Epidemiology of heart failure. Circulation Research 2013;113:646-659. Aronow WS. Epidemiology, pathophysiology, prognosis, and treatment of systolic and diastolic heart failure. Cardiol Rev 2006;14:108-124. Chatterjee K. [reliasmedia.com]

Key words: heart failure, epidemiology, prognosis, analysis of survival Most of the knowledge regarding prognosis in heart failure originates from studies in patients with chronic heart failure 1-3. [scielo.br]

Epidemiology Over 5 million people in the United States alone carry a diagnosis of chronic heart failure. The majority of patients will have cardiomyopathy due to obstructive coronary artery disease and as a sequela of prior myocardial infarction. [cancertherapyadvisor.com]

[Crossref] Aronow WS (2006) Epidemiology, pathophysiology, prognosis, and treatment of systolic and diastolic heart failure. Cardiology in review 14: 108-124. [oatext.com]

Show Summary Details (p. 10) (p. 11) Pathophysiology of systolic heart failure Chapter: (p. 10) (p. 11) Pathophysiology of systolic heart failure Richard Cubbon and Ajay Shah DOI: 10.1093/med/9780199542338.003.0002 • Chronic heart failure (CHF) is a clinical [oxfordmedicine.com]

Specifically, these examples outline the impact of HF pathophysiology on: (i) respiratory mechanics and the mechanical "cost" of breathing; (ii) mechanical interactions of the heart and lungs; and on (iii) abnormalities of pulmonary gas-exchange during [physiology.org]

In contrast, the pathophysiological derangements in HFpEF include concentric remodeling, ventricular-vascular stiffening, and loss of ventricular-vascular reserve function, and therefore it is not surprising that therapies targeting HFrEF pathophysiology [ahajournals.org]

The pathophysiology of acute heart failure — is it all about fluid accumulation? Am Heart J 2008;155:9-18. Cotter G, Metra M, Milo-Cotter O, et al. [reliasmedia.com]

This article will review the pathophysiology and treatment of HF. Implications for home care clinicians are discussed. [nursingcenter.com]

Early diagnosis and the aggressive management of known risk factors, such as hypertension, diabetes, obesity, alcohol abuse, and tobacco use, are the best strategy to prevent functional decline. [clinicaladvisor.com]

Prevention While some risk factors cannot be controlled, there are ways you can help to prevent some cases of systolic heart failure: Pra ctice good heart health: Watch what you eat, exercise, stop smoking, avoid non-prescription drugs, limit alcohol [baptisthealth.com]

Sometimes, heart failure develops due to diastolic dysfunction in which the left ventricle becomes stiff, preventing the heart from filling with enough blood during the resting period between each beat. [docdoc.com.sg]

Prevention and management of chronic heart failure in patients at risk. Am J Cardiol. 2003;91(suppl):10F-17F. 5. Chobanian AV, Bakris GL, Black HR, et al. [uspharmacist.com]

Home healthcare clinicians play a major role in the prevention of HF decompensation and exacerbation among their patients by closely monitoring signs and symptoms of HF. [nursingcenter.com]