Classification and treatment of circulatory failure


1. Classification of circulatory failure

2. cerebrovascular insufficiency

3. Treatment of brain circulatory failure

condition when the cardiovascular systemunder the conditions of normal life can not provide all the needs of the human body in the blood supply, called circulatory failure.At the initial stage of the disease is observed only when a sharp increase in oxygen demand, such as during exercise.But the progression of circulatory failure begins to appear in a normal life, and then in a state of rest.

Classification of circulatory failure

1. According to the clinical picture:

1.1.Vascular circulatory failure, which is a change in the primary circulation system.First of all, it is a decrease of blood flow and fall of minute blood flow to the heart.The main reasons:

  • violation of peripheral vascular permeability and the regulation of the lumen (in the collapse, shock, fainting);
  • loss of a large volume of fluid, leading to a rapid reduction in circulating blood
    volume (in infectious diseases, blood loss);
  • blockade of venous inflow (for thromboembolism one of the main trunk of the pulmonary artery or pericarditis).

In all cases, the system falls in arterial pressure appears hypoperfusion and tissue oxygen supply is disturbed, leading to hypoxia and metabolic acidosis.Because of the small venous return pumping function of the heart is not effective enough.

1.2.Heart (cardiac), resulting from changes in the contractile function of the heart and rhythm.The main reasons include:

  • decreased blood flow from the affected ventricle ( "ejection failure");
  • increase in blood volume in the system flow to the affected ventricle ( "congestive failure").
  • muscle weakness of one of the ventricles (right ventricular and left ventricular failure).

most often combine the first two options.

2. Adrift:

2.1.Acute circulatory failure, which the classification is based on clinical syndromes:

  • heart right ventricular (pulmonary heart) and left ventricular (pulmonary edema, cardiac asthma) failure;
  • heart failure (cardiogenic shock);
  • vascular insufficiency (collapse, syncope, shock);
  • gipodiastolicheskaya (tachycardia paroxysmal type).

In the absence of proper treatment, circulatory failure transitions from acute to chronic forms.

2.2.The chronic circulatory failure is divided by degrees of its severity:

  • I degree of circulatory failure characterized by tachycardia, shortness of breath, fatigue.Often, a person with a diagnosis of reduced capacity for work, possible vascular or heart of central origin;
  • II A degree of circulatory insufficiency, which is characterized by similar symptoms, but they occur at rest.There is also a stagnation in the circulation and the ability to work is reduced significantly;
  • II B degree of circulatory failure, when the patient is incapacitated, the stagnation observed in both the systemic circulation.Such chronic circulatory insufficiency usually left- or right ventricle, at least - total;
  • III degree (dystrophic), in which the ability to work completely lost.

Acute and chronic circulatory failure are equally in need of skilled care.

cerebrovascular insufficiency

cerebrovascular insufficiency is considered a major cause of death and disability.This is a serious disease observed in many middle-aged and elderly.The classification system of the brain circulatory failure refers to vascular insufficiency.

Cerebral circulation deteriorates in diseases such as hypertension and cerebral arteriosclerosis.Patients diagnosed with cerebrovascular insufficiency, in normal conditions for them to feel good.With the increased blood supply to the condition worsens.This occurs when the mental or physical work in a stuffy room, overvoltage.The patient required treatment when at least once a week the following symptoms:

  • dizziness;
  • tinnitus;
  • severe headaches;
  • memory impairment.

Treatment of brain circulatory failure

Usually, the patient is prescribed a variety of vitamin supplements and sedatives.Often drugs are prescribed to restore the blood supply, or a vasodilator, antihypoxic and nootropic drugs.

treatment of circulatory insufficiency also includes:

  • normalization mode of the day;
  • night's sleep at least 9 hours;
  • abolition of heavy physical labor;
  • breaks during the working day;
  • walking outdoors;
  • dieting (reducing salt, fat and sugar).


This article is available exclusively in the educational purposes and is not research material or professional medical advice.

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