Chronic heart failure - symptoms, treatment


1. Causes of chronic heart failure

2. Classification of chronic heart failure

3. symptoms

4. Treatment of chronic heart failure

Chronic heart failure - a condition of the body in which the heart can not pump the required blood volume.This results in oxygen deprivation of organs and tissues.The most common signs of the disease are swelling and shortness of breath.The development of edema is due to a stagnation of blood in the venous line.The appearance of dyspnea associated with stagnation of blood vessels in the lungs.Heart failure often occurs in the absence of the treatment of heart disease.

Causes of chronic heart failure

cause of chronic heart failure is usually damage to the heart, or a violation of its ability to pump blood vessels right amount.The main causes of the disease is called coronary heart disease, hypertension, valvular heart disease.

According to statistics, men most often the cause of the disease is coronary heart disease.In women, the disease is c

aused primarily by hypertension.

There are other causes of illness:

  • diabetes;
  • cardiomyopathy - a disease of the myocardium;
  • arrhythmia - irregular heartbeat;
  • myocarditis - an inflammation of the heart muscle (myocardium);
  • cardio - heart failure, which is characterized by overgrowth of connective tissue;
  • abuse of tobacco and alcohol.

Cardiosclerosis, myocardial infarction and some other causes of chronic heart failure can trigger the appearance of cardiac asthma - a dangerous disease, which is accompanied by bouts of breathlessness.

Classification of chronic heart failure

There are different types of this disease classification.

There are four classes of the complexity of the disease.

Class 1 - the patient suffers from shortness of breath climbing the stairs to the third floor level and above.Thus its physical activity remains normal.

2 class - a human patient has shortness of breath when climbing to the level of the first floor, and a brisk walk.It is shown a slight decrease in physical activity.Normal load causes symptoms of the disease.

Grade 3 - symptoms of heart failure appear during light loads and when walking.They disappear in the quiescent state of the patient.

4 class - there are signs of heart failure at rest, the smallest increase in physical activity leads to serious problems of the cardiovascular system.

Classification of chronic heart failure in origin.

Myocardial.This form of the disease occurs by direct damage to the heart wall.It is a consequence of a violation of energy metabolism of the heart muscle.Because of the chronic heart failure myocardial violated reduction (systole) and relaxation (diastole) of the heart.

overload.There is, as a consequence of the increased load on the heart.This disease develops in heart diseases and diseases associated with impairment of normal blood flow.

combined.It occurs when there is myocardial damage and excessive strain on the heart.

Classification of chronic heart failure on the location of the lesion.Left ventricular

.It appears due to left ventricular overload, or by reducing myocardial contractility.Often such an overload is narrowing of the aorta.Reduced contractility can occur after myocardial infarction.In this disease decreases the amount of blood that is released into the systemic circulation and blood stasis is formed in a small circle.Right ventricular

.In this type of the disease blood stasis is formed in the systemic circulation and reduces the amount of blood supplied to the pulmonary circulation.It arises from the right ventricle overload.Often a problem occurs when the pulmonary hypertension.The most severe dystrophic form of right ventricular chronic heart failure - the last stage of the disease.The patient is suffering from exhaustion, he observed swelling, skin thins, becomes flabby.

mixed.This type of heart failure occurs when the overload left and right ventricles.


Symptoms of chronic heart failure are tied with what heart department can not cope with the load.

case of insufficiency of the right ventricle of the heart is formed stagnation of blood in the systemic circulation.The patient has the following symptoms are observed:

  • pain in the right upper quadrant due to stagnation of blood in the veins of the liver;
  • limb edema;

case of insufficiency of the left ventricle of the heart is formed stagnation of blood in the pulmonary circulation and the lungs.This pathological condition characterized by symptoms:

  • shortness of breath, which may occur in severe cases even at rest;
  • cyanosis - bluish certain areas of the body;turn blue first those that are farther away from the heart - her lips, fingers and toes;
  • hemoptysis;
  • dry wheezing.

The disease of any type is characterized by fatigue.

Treatment of chronic heart failure

For diagnosis the doctor examines the patient and assigns the necessary research.This may be an electrocardiogram, echocardiogram, X-rays, clinical and biochemical blood tests, urine analysis.

For proper treatment of chronic heart failure is very important to determine the underlying disease that led to this state.

Drug treatment of chronic heart failure have to be complex.

To prevent overload of the heart muscle is prescribed beta-blockers.This drugs that lower blood pressure and reduce the heart rate.Eliminate

symptoms of heart failure by means of glycosides with a prolonged effect.Together with these drugs are used diuretics.They contribute to the removal of excess fluid from the body and prevent the appearance of edema.

may require surgery in severe cases of chronic heart failure.Surgically patient establish the defibrillator, solve problems with the replacement of valves and sealing veins.


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

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