Running head: CONGESTIVE HEART FAILURE
Congestive Heart Failure – Case Study
Pathophysiology – BSRN – 420
Instructors: October 10, 2010
Report on Congestive Heart Failure
The heart is a muscle, the most important one in the body. It works like a pump; it receives blood from the body and pumps the blood into the lungs, where it receives oxygen. This oxygen rich blood is then pumped out in to the body system to nourish the body. Congestive heart failure occurs when this pumping action is impaired, and the heart cannot pump enough blood to meet the body’s needs. When the heart cannot pump out the blood it receives, excess fluid may back up into the lungs and other body tissues. If the amount of nourishment to the body
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After picking up oxygen, the blood travels back to the heart through the pulmonary veins into the left atrium, to the left ventricle and out to the body's tissues through the aorta.” (Google, Health, 2010, pg. 1) “Some patients with heart failure have no symptoms. In these people, the symptoms may develop only with these conditions: • Abnormal heart rhythm (arrhythmias) • Anemia • Hyperthyroidism • Infections with high fever • Kidney disease (Google Health, 2010, pg.1) Risk factors for congestive heart failure include advancing age, as heart failure is the most common reason for hospitalization in the elderly, and as the population ages, the incidence of heart failure is rising dramatically. The positive aspect of this is that people with congestive heart failure are living longer. Sex or gender is another risk factor, as men are at higher risk for heart failure than women. African American’s are at higher risk for heart failure than Caucasians. Genetics and family history of early heart failure
Caused by cadiomyopathies (diseases that damage the heart muscle), may predispose people to this disease. Chronic alcohol abuse can damage the heart muscles, can cause hypertension, and may cause cardiomyopathy. Moderate alcohol consumption, on the other hand, may protect people from heart failure. There
Heart failure may convey that the heart isn’t working anymore, but what it really means is that the heart isn’t pumping as well as it should be (REF). Heart failure is a chronic, progressive condition in which the heart muscle is unable to pump enough blood through to meet the body’s needs for blood and oxygen (REF). At first, the heart tries to make up for this by enlarging, developing more muscle mass, and pumping faster. As this happens, the blood vessels narrow to keep blood pressure up and the body diverts blood away from less important tissues and organs to maintain flow to the heart and brain (REF). Eventually, the body and heart cannot keep up and the patient begins to feel fatigue, breathing problems, weight gain with swelling in the feet, legs, ankles or stomach, and other symptoms that eventually leads to a hospital visit. The body’s coping mechanisms give us better understanding on why many are unaware of their condition until years after the heart declines (REF).
ECG: sinus tachycardia with waveform abnormalities consistent with LVH, Pronounced Q waves consistent with pulmonary edema.
Situation: Two patients in their 70s present to the office at different times today, each with documented heart failure: one diastolic and the other systolic, and both are hypertensive. First, discuss the difference between systolic and diastolic heart failure, providing appropriate pathophysiology. ACEI/ARBs are the only medications prescribed for CHF that have been found to prolong life and improve the quality of that life. EXPLAIN the mechanism of action of ACEI/ARBs and how they affect morbidity and mortality in CHF. Be specific. Diuretics must be used very carefully in diastolic ventricular dysfunction. EXPLAIN this statement using appropriate physiology. Now considering all of the above, describe an appropriate comprehensive plan of
Heart Failure is a progressive heart disease when the muscle of the heart is weakened so that it cannot pump blood as it should; the blood backs up into the blood vessels around the lungs and the other parts of the body (NHS Choice, 2015). In heart failure, the heart is not able to maintain a normal range cardiac output to meet the metabolic needs of the body (Kemp and Conte, 2012). Heart failure is a major worldwide public health problem, it is the end stage of heart disease and it could lead to high mortality. At present, heart failure is usually associated with old age, given the dramatic increase in the population of older people (ACCF/AHA, 2013). In the USA, there are about 5.7 million adults who have heart failure, about half of the people die within 5 years of diagnosis, and it costs the nation an estimated $30.7 billion each year (ACCF/AHA, 2013).
“One in nine deaths in 2009 included heart failure as a contributing cause. About half of the people who develop heart failure die within 5 years of diagnosis” (Heart Failure Fact Sheet). “Researchers have proven that African-Americans are at an increased risk of congestive heart failure. This is due to diabetes and high blood pressure, rather than race alone”. “There is no cure for heart failure. Treatments are used to relieve symptoms of CHF and try to prevent any further damage. The exact plan to help the patient depends on the stage and the type of heart failure the patient has”
Heart failure affects nearly 6 million Americans. It is the leading cause of hospitalization in people older than 65. Roughly 550,000 people are diagnosed with heart failure each year (Emory Healthcare, 2014). Heart failure is a pathologic state where the heart cannot pump enough blood to meet the demand of the body’s metabolic needs or when the ventricle’s ability to fill is impaired. It is not a disease, but rather a complex clinical syndrome. The symptoms of heart failure come from pulmonary vascular congestion and inadequate perfusion of the systemic circulation. Individuals experience orthopnea,
John was diagnosed with heart failure a year ago after being hospitalised three times in the space of four months. Stewart (2004) feels that a diagnoses of heart failure is problematic in older patients as their symptoms can often mimic other
The oxygen rich blood returns from the lungs and it goes through the pulmonary vein to the left atrium.
Congestive Heart Failure, also known as "cardiac decompensation, cardiac insufficiency, and cardiac incompetence," (Basic Nursing 1111) is an imbalance in pump function in which the heart is failing and unable to do its work pumping enough blood to meet the needs of the body's other organs. To some people, heart failure is defined as a sudden and complete stoppage of heart activityi.e. that the heart just stops beating. This is an inaccuracy. Heart failure usually develops slowly, often over years, as the heart gradually loses its pumping ability and works less efficiently. CHF is a syndrome that affects individuals in different ways and to different degrees. It is usually a chronic disease. It gradually
There are many causes for heart failure. The most common cause is coronary heart disease (Moore and Roth, 2015). CHD is a disease in which the coronary arteries are blocked, preventing the heart muscles from getting the oxygenated blood they need. Heart failure can be caused by other present or past conditions like high blood pressure, diabetes, abnormal heart valves, diseased heart muscle, irregular heartbeats, heart defects, serious lung disease, poisons or substance abuse, and sleep apnea (Heart Failure Overview).
History: Martha Wilmington, a 74-year-old woman with a history of rheumatic fever while in her twenties, presented to her physician with complaints of increasing shortness of breath ("dyspnea") upon exertion. She also noted that the typical swelling she's had in her ankles for years has started to get worse over the past two months, making it especially difficult to get her shoes on toward the end of the day. In the past week, she's had a decreased appetite, some nausea and vomiting, and tenderness in the right upper quadrant of the abdomen.
The diagnosis is made when an ejection fraction of less than 40% is found during an echocardiogram test. Patients with known systolic heart failure and current or prior symptoms are Stage C. Most common symptoms include, shortness of breath, fatigue and reduced ability to exercise. Stage D is patients with systolic heart failure and presence of advanced symptoms after receiving optimum medical care. Other risk factors for heart failure are some diabetes medications, sleep apnea, congenital heart defects, viruses, and irregular heartbeats. Heart Failure can be treated and managed but not cured. It is a chronic condition.
Congestive heart failure is an older name for heart failure. Congestive heart failure takes place when the heart is unable to maintain an adequate circulation of blood in the bodily tissues or to pump out the venous blood returned to it by the veins (Merriam-Webster). The heart is split into two distinct pumping structures, the right side of the heart and the left side of the heart. Appropriate cardiac performance involves each ventricle to extract even quantities of blood over intervals. If the volume of blood reimbursed to the heart develops more than both ventricles can manage, the heart can no longer be an efficient pump.
Congestive heart failure is a chronic disease that requires daily monitoring and life style management. Affecting the elderly, and their family the adjustment is a challenge. Daily life skills include the monitoring of daily weights, intake and output, and a low sodium diet. The person with congestive heart failure is generally admitted to the hospital for medication adjustments when their symptoms increase. The patient is often times short of breath, with a decrease in energy and an increase in their weight. The patients are generally elderly 60-65 years of age or older, and when comparing African Americans to Caucasians the African Americans have a 1.5 greater chance of developing heart failure ("Heart Failure," 2017). The
The heart is what keeps all living breathing species alive, animals or humans. If the heart was to shut down but the nervous system continued and was active, it would not matter. The entire body would shut down because once the supplier no longer delivers what is needed; organs will no longer function correctly, therefore causing irreversible damage. Arteries are what carried the rich oxygenated blood from the heart to the rest of the organs throughout the body. The Veins are what bring back the carbon dioxide blood to the heart. It then has to be put through a cycle so that it can be shipped back out. Blood travels from the right atrium through the tricuspid valve, to the right ventricle. From there, it is pumped to the lungs, the oxygen-rich blood goes to the left atrium and then through the mitral valve to the left ventricle where it goes to the aorta to be pumped around the body (Colombo 7). What looks to be a complicated process that would take hours or minutes is actually done in a matter a seconds.