Medical Diagnosis Of Heart Failure

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,

Varying patients may present to their clinician or the emergency department for treatment with heart failure. It is important to understand that there is more than one type of heart failure; primarily the focus is placed on diastolic heart failure and systolic heart failure. Depending upon the cause of heart failure and what areas are affected dictates the treatment plan needed. While there are similarities with both kinds of heart failure, there are also differences that can help the clinician distinguish the diagnosis needed to fit the patient. Once a diagnosis is made the clinician can move forward in determining if the patient is at risk for use of diuretics and then look towards prescribing ACEIs, ARBs, and beta-blockers.

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.

Heart failure is more commonly diagnosed in the elderly population. There are ways to help manage heart failure like lifestyle modifications and use of pharmacology, and assessment for surgical intervention. Treatment of heart failure requires intensive medical, dietary, behavioral, and lifestyle modification to achieve improved quality of life, fewer hospitalizations, and decreased mortality (Singh, H., McGregor, Nigro, Higginson, and Larsen, 2014).

Heart failure is a chronic, debilitating disease affecting 5.1 million Americans. It is the most common cause of hospital admissions for Medicare beneficiaries, and is the diagnosis associated with most readmissions (Sterne, Grossman, Migliardi, & Swallow, 2014). Lower quality of life is experienced by patients with heart failure. Mortality rates remain high with about 30% of patients dying within the first year after diagnosis (Vellone et al., 2013). In the U.S. heart failure has become a major public health concern. The number of annual hospitalizations for individuals with heart failure increased from 2.4 million to 3.6 million from 1990 to 1999 (Veroff et al., 2012). Therefore, it is imperative to develop interventions to better

Sensing process is the initial stage of our process. Heart problems like Chronic Heart Failure Disease affected people have 70% of possibility to cause of critical heart failure i.e. Acute Decompensated Heart Failure (ADHF). The concept of outpatient monitoring for early detection and treatment of ADHF is not new. However, the question of which parameters to monitor and what specific detection strategies should be used to prevent hospitalization has not been adequately addressed. Symptoms such as orthopnea and physical examination signs such as pulmonary rales, peripheral edema, and elevated jugular venous pressure reflect increased ventricular filling pressures and vascular congestion and are often used for the diagnosis of ADHF. However,

Therapeutic measures for a patient with congestive heart failure would be daily weights, dietary sodium restrictions, positioning in high or semi-Fowler’s position, frequent vital signs, oxygen by cannula or mask, medical devices: pacemakers, internal cardiac defibrillator, biventricular cardiac pacemaker, ventricular assist device, medications: digoxin, diuretics, inotropes, nesiritide, beta blockers, surgery: heart valve repair or replacement, coronary

An echocardiogram and numerous blood test may also be used to identify congestive heart failure.

Congestive cardiac failure (CCF) is a complex and lethal clinical syndrome with high morbidity (Australian Institute of Health and Welfare, 2011). The specific data about incidence of chronic heart failure is unknown due to difficulties in collecting self-reporting data (Australian Institute of Health and Welfare, 2011). Some patients may not report their conditions, because it is mildly symptomatic and difficult to realize the symptoms when they are on the early stage of CCF (Urden, 2014). Therefore, the estimated data on incidence of CCF from National health Survey may be

Some key observations that we found throughout these clinical reports are that patients are offered numerous treatment options when diagnosed with heart failure. However, these treatment options are often restricted due to comorbid disorders/diseased the patients

There are many different tests that can be done to tell whether a person has congestive heart failure. CHF is usually diagnosed by a physical exam and also the history of the patient. The history helps determine if there were any other incidents when the patient was short of breath or had trouble breathing with walking and so forth. An electrocardiogram is used to help determine the electrical impulses in the heart. An echocardiogram is used to show images of the heart and shows anything that may be deformed within it. A stress test may also be done to show how the heart handles exercise and also checks to see if the person may have coronary artery disease.

Over the years there has been some controversy on defining congestive heart failure due to a vast variability of the clinical signs and symptoms (Coronel, 2001). The American Heart Association defines it as “a complex clinical syndrome that can result from any structural or functional cardiac disorder that impairs the ability of the ventricle to fill or eject blood” (Veronique, 2013). In this case report will critically analyse the general information of the giving condition in relation to the patient’s case.

Congestive heart failure (CHF) is a commonly seen in the hospital setting. CHF results in patients having difficulty breathing and can go in to respiratory arrest. There is decreased cardiac output and labs will show increased BNP. Patients who have CHF history will have chest x-ray and EKG. Therapy for CHF is to correct the abnormal labs and keep the patient from arresting and being placed on a vent. This paper will look at the molecular make up of CHF all the way to how to take care of the patient with advanced CHF. Patients are placed on medications to help with fluid overload and blood pressures. At times patients may have to be placed on cardiac drips. Patients with CHF are prone to pulmonary complications such as pulmonary edema, and

A person's symptoms can provide important clues to the presence of heart failure. (Cadwallader p. 1143). Some of these include: JVD, SOB, frequent coughing when lying down, edema, acites, fatigue, syncope, vertigo, and sudden death. (Cadwallader p. 1142).

Symptoms of heart failure are divided into two parts which are left and right sided of the heart. Heart failure may happen due to the “pooling” of fluid in the lungs, abdominal area, legs or feet; it can also be caused by decreased blood flow to the body. The left-sided failure of the heart causes blood to back up or be congested to the lungs, causing respiratory symptoms such as: shortness of breath all the time especially during the night while sleeping, frequent dry cough and many more. Left side failure also gives fatigue which is due to insufficient supple of oxygenated blood. Whereas, right-sided failure is often caused by pulmonary heart disease, which usually caused by the difficulties of pulmonary circulation. This side of failure