1. Introduction
Mountings of evidence exist on the benefits of physical activity and exercise for patients who have experienced a heart failure (HF) in recent years. HF occurs irrespective of age, therefore there will be no age categorisation within this report even though it is decidedly prevalent in older people, however, distinction will be made in relation to the group most likely to experience an event where pertinent. Owing to that, the intent of this report will be to asses the impact of physical activity and exercise on mortality and morbidity outcomes of those who have experience an event, as well as the advancement of quality taking into account the prognosis of the patients and their ability to undergo a particular exercise prescription.
2. Background
Heart Failure (HF) is the inability of the heart to meet the peripheral demands under rest or exercise conditions caused by either muscular dysfunction or mechanical disorder or a combination of these factors (Scottish Intercollegiate Guidelines Network, 2007; McDonagh et al., 2011).
HF is a complex clinical syndrome with a constant increasing incidence and prevalence in western countries in the 21st century and has been a major cause of morbidity, mortality, hospitalizations and disability. People who develop HF have (or had) another heart condition
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HF becomes more prevalent with age and the number of cases is expected to grow as the overall age of the populations in developed countries increases. Physical inactivity leads to various health issues including heart failures as such Centers for Disease Control and Prevention (CDC) (2014), forecast that about 5.1 million people experience HF and about 550,000 new cases are diagnosed each year in the United States
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).
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. Basically, the heart can 't keep up with its workload. American Heart Association Statistics (2016) reveals that heart failure accounts for 36% of cardiovascular disease deaths. Projections report a 46% increase in the prevalence of Heart Failure (HF) by 2030 by affecting over 8 million people above 18 years with the disease. Healthy People 2020 goals are focused on attaining high quality longer lives free of preventable diseases, promotion of quality of life, healthy development and healthy behaviors across all stages of life (Healthy People 2020, 2015).
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).
CHF can be caused by many different reasons. Sometimes CHF can be a heart defect or can be caused by unhealthy lifestyles. “CHF is an ongoing condition in which the heart muscle is weakened and can’t pump as well as it normally does” (Congestive Heart Failure). When the heart becomes too weak to continue to pump blood throughout the body, it is called Congestive Heart Failure. When CHF first
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,
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).
Congestive heart failure (CHF) is a condition that occurs when the heart is unable to pump blood with enough force to circulate it throughout the body (VanMeter &
HF is progressively more general situation that results in substantial morbidity, mortality, and use of medical resources, particularly amongst elder Americans (American heart association, 2010). Education plays a key role in preventing frequent readmissions to the hospital. More over adequate knowledge about the disease and social support will improve the living status. It is extremely vital for clients to comprehend and distinguish the alterations in their capacity to uphold standard performance and acquire health care support with any deterioration symptoms. Being submissive with treatment plan and diet are the main features of successful management of
The Canadian Heart and Stroke Foundation defines heart failure (HF) as “a common condition that develops after the heart becomes damaged or weakened by diseases of the heart including heart attacks and other medical conditions. (Heart Failure, 2013)” HF is a chronic medical condition causing the body’s heart to weaken and become unable to pump and supply enough blood and nutrients to the meet the body’s needs. There are four different types of HF: left-side, right-side, systolic and diastolic heart failure (Heart Failure, 2015). Left-side heart failure causes shortness of breath due to fluid backing up in the lungs. Right-side heart failure causes fluid retention in abdomen, legs and feet causing swelling. Systolic heart failure is when the left ventricle can’t contract fast enough, indicating a pumping issue and diastolic heart failure is when the left ventricle can’t relax enough to fill properly, indicating a filling problem (Heart Failure, 2015). These abnormalities in heart function can result a homeostatic imbalance in the kidneys responding by causing the body to retain fluid and salt. The term congestive heart failure (CHF) is used when the heart failure has worsened causing a backup of fluid and congesting extremities and other organs (Heart Failure, 2015). Often, you can control heart failure by taking medicine, changing your lifestyle, and treating the condition that caused it but there is no cure at this time.
Lack of adequate blood flow to the human body can disturb critical components of homeostasis. Despite significant progress in our understanding of CHF, there is no specific therapy that works for every patient. Therefore, health care providers must approach patients with a clear understanding of the disorder. Moreover, treat each patient on an individual basis. Hopefully, with new health models as powerful predictors of heart failure and forward moving technologies and treatments for the care of heart failure, patients may have meaningful outcomes and
Congestive heart failure (CHF) is a condition where the heart is unable to efficiently pump blood to supply the body with adequate blood flow and it can cause fluid to build up in the lungs. There are several disease processes and risk factors that predispose an individual to this condition. CHF can be chronic or acute and life threatening, and most of these patients are in the older adult population. Some symptoms of CHF include fatigue, shortness of breath, edema, and diminished exercise capacity. There are several medical management techniques for this condition including lifestyle modifications, medications and surgical intervention. Below, I will summarize two articles on two different medical treatments for CHF.
CHF occurs when the heart is no longer able to adequately pump blood causing a decrease in nutrients and oxygen to the body. The term CHF has widely been replaced by the terms acute failure and chronic failure because not all types of heart failure are accompanied by pulmonary congestion. However, in this pt’s case, she suffered from severe edema and fluid build-up in the lungs due to the failure. CHF is generally precipitated by other cardiac related conditions including, HTN, CAD, and past MIs, all of which are present in this pt’s history (Lewis, Heitkemper, Dirksen, Bucher, & Camera, 2014).
Over 70% of the patients are older than 65 years. The risk of having the condition rises with age. HF can be defined as a clinical syndrome. The ability of the heart to pump blood is impaired and it can no longer meet the body’s metabolic requirements Table 1. New York Heart Association Classification of Heart Failure.
Heart failure (HF) can be termed as the incapability of the heart to run into the burdens of the soft tissue that results in signs of exhaustion or dyspnea on physical exertion making headway to dyspnea at rest. Physical action has stood to have several fitness benefits in the prime and ancillary inhibition of non-communicable prolonged sicknesses, comprising cardiac disease, diabetes mellitus, and various cancers. Even though exercise is advantageous for all time of life for both hale and hearty individuals and folks susceptible to lasting health situations, like coronary artery disease. The role of workout in the site of patients with hereditary cardiac conditions are more complex. A well-defined relationship among
The amount of blood pumped by the heart over a given time period is identified as cardiac output (CO), which is in order the product of heart rate (HR) and stroke volume (SV) and is usually 4– 8 L/min. In addition, other factors such as synergistic ventricular contraction, ventricular wall integrity, and valvular competence all affect CO [10]. HF occurs when the functioning heart is no longer able to meet the needs of the body. HF is characterized by a decrease in CO. The most common causes of HF include coronary artery disease (CAD), diabetes mellitus (DM), hypertension, obesity, and cardiomyopathy (Fig.2)