The Pathophysiology Of Congestive Heart Failure

The prevalence of congestive heart failure is on the increase both in the United States and all over the world, and it is the leading cause of hospitalization in the elderly population. Congestive heart failure is a progressive disease generally seen in the elderly, which if not properly managed, can lead to repeated hospital admissions or death. Heart failure means that the heart muscle is weakened. A weakened heart muscle may not be strong enough to pump an adequate amount of blood out of its chambers. To compensate for its diminished pumping capacity, the heart may enlarge. Commonly, the heart's pumping inefficiency causes a buildup of blood in the

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).

Veins are made up of more elastic tissue and less smooth muscle and carry blood to the heart from the body. The heart wall has three layers that surround the heart. The outer most layer is the epicardium, middle layer is the myocardium, inner layer is the endocardium.

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Mr. Javier Escobar, U.S Army Veteran, 50-year-old Latino male and divorced claiming to “not having anyone in his life due to Combat Post Traumatic Stress Disorder”. Mr. Escobar is a newly patient diagnosed with Congestive Heart Failure (CHF). Patient claims to smoke 1 pack of cigarettes a day, also the consumption of 1 bottle (750mls) per night of alcohol. Congestive Heart Failure is due to Chronic high blood pressure that puts great stress on the heart muscle. The muscle of the heart weakens and fails to push the normal amount of blood around the body leading to Congestive Heart Failure. There are multiple symptoms that could by identified before heart failure such as anxiety, restlessness, cyanotic (blue

Congestive heart failure is a chronic condition that is responsible for the highest number of hospitalizations among adults. Readmission rates after hospitalization also remain high, with 50% of patients being readmitted within 6 months of discharge. (Desai & Stevenson, 2012). The Affordable Care Act penalizes hospitals with readmissions within 30 days after discharge, making readmissions a focus of hospitals nationwide. Several factors including discharge planning, patient education, diet restrictions, and early follow up appointments can help to reduce readmissions, but continuous monitoring is necessary to catch early signs of decompensation. (Desai & Stevenson, 2012).

Congestive Heart Failure is when the heart's pumping power is weaker than normal. It does not mean the heart has stopped working. The blood moves through the heart and body at a slower rate, and pressure in the heart increases. This means; the heart cannot pump enough oxygen and nutrients to meet the body's needs. The chambers of the heart respond by stretching to hold more blood to pump through the body or by becoming more stiff and thickened. This only keeps the blood moving for a short while. The heart muscle walls weaken and are unable to pump as strongly. This makes the kidneys respond by causing the body to retain fluid and sodium. When the body builds up with fluids, it becomes congested. Many conditions can cause heart

Congestive heart failure (CHF) is a situation where the heart is not able to pump adequate blood to the other organs of the body. Causes of CHF are coronary artery disease, past myocardial infarction, hypertension, heart valve disease, cardiomyopathy, congenital heart defects, endocarditis and myocarditis (American heart association, 2013) .In the case scenario of Mr. P 76 year old man comes with the history of cardiomyopathy and CHF and in the past repeatedly admitted for the management of CHF symptoms. This essay discusses about approach to care, treatment plan, patient and family education and teaching plan that is given to Mr.P.

To conclude, congestive heart failure is a serious disease that happens when the heart is unable to work efficiently. Despite the fact that there is no cure for this disease, treatment are available if the disease is diagnosed early. Also, the symptoms can be controlled properly for many years. If the disease continues to progress without medication through the four main stages, the function of the heart will be severely affected to the point where life is no longer

Patients presenting Symptoms: Gradual onset of dyspnea on exertion, fatigue, frequent dyspepsia with nausea and occasional epigastric pain, trouble breathing while lying on his back and, which is relieved by sitting up (orthopnea), an hypertension.

Congestive heart failure (CHF) is a condition caused by the weakening of the heart and the cardiovascular system. It develops when the heart is not able to pump enough blood. Some causes of CHF would include, narrowed arteries that supply blood to the heart muscle – coronary artery disease, past heart attack, or myocardial infarction, with scar tissue that interferes with the heart muscle’s normal work, high blood pressure, heart valve disease, primary disease of the heart muscle itself, called cardiomyopathy.

So what is congestive heart failure? A simple definition is the heart 's inability to pump blood to the rest of the body but it goes way beyond that. The body’s natural mechanisms try to compensate for the changes that the heart is failing to do, which in turn starts a cycle that doesn’t end. When decline in cardiac output is recognized the sympathetic system attempts to fix the problem by raising blood pressure which causes the heart to work harder, worsening the heart muscle and starting the whole process over again. It causes a cascading effect on the body that can be devastating. Ischemic heart disease is the most common cause for congestive heart failure. Ischemic heart disease consists of cardiomyopathies, dysrhythmias, valve disease, vascular problems and hypertension along with

Diastolic heart failure is also known as heart failure with preserved systolic function or heart failure with normal ejection fraction. Diastolic heart failure can occur alone or with systolic heart failure. Approximately 550,000 individuals in the United States are diagnosed with heart failure and half of them have diastolic heart failure. Diastolic heart failure is mainly common in elderly people with age of 65 or older. Also, it is mainly diagnosed in women than men (Huether and McCance 2012).

“congestive 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”(American Heart Association, 2015). When the heart fails, it pumps the blood faster to increase the output and muscle of heart become more dense and enlarged. Once the chambers are enlarged, it stretches more and contract strongly which helps to pump more blood. Due to the enlargement of the heart, a body starts to retain fluid, which makes a lung congested and heart starts to beat irregularly (American Heart Association, 2015). The main causes of CHF are coronary artery disease, high blood pressure, previous heart attack, cardiomyopathy, and others, which weakens and stiffens the heart muscles. In cardiomyopathy, heart muscles become thick, rigid and enlarged, which is caused by genetic factors, medications, infections, toxicity and others.

While the bulk of the heart is myocardium, there are structural components that are pertinent. The four cardiac valves can be seen in a transverse section of the heart at the base of the ventricles.