Tag: Congestive Heart Failure

What Evidence of Congestive Heart Failure is a Diagnosis Based

What Evidence of Congestive Heart Failure is a Diagnosis Based on?

While all cardiac conditions carry similar symptoms of chest pain and difficulty breathing, congestive heart failure generally presents with a very specific set of symptoms and lab results, giving doctors a very firm set of clues upon which to base a definite diagnosis.

Dyspnea, or difficulty breathing, coupled with severe pitting edema (when the body retains fluid to the point of holding the imprint of an object that is pressed into the skin for several minutes) are generally the first pieces of evidence pointing to congestive heart failure. Heart failure results in the heart not being able to efficiently pump blood throughout the body; as a result, fluid accumulates rather than being excreted and causes the body to swell as if it were a water balloon. Non-pitting edema, or fluid retention that does not hold an imprint, is not caused by heart failure and indicates that another diagnosis needs to be made. The patient may produce a frothy pink sputum when they cough.

In addition to the symptoms related to the fluid accumulation general weakness and malaise, particularly during times of physical exertion are frequent complaints of patients suffering from congestive heart failure, and should not be ignored. This is caused by a lack of nutrients and oxygen from the blood to the body tissues, and may result in permanent damage to the organs if they are left without these vital elements for a prolonged period of time. Anuria, or a lack of urination, is also evidential of heart failure as fluid accumulates in the tissues rather than being properly excreted. Patients may suffer from a changed mental status due to toxins accumulating in the body.

Once the physician suspects heart failure based on the physical evidence, blood samples will be sent to the laboratory. Beta-natriuretic peptide, or BNP, is an excellent screening tool in suspected cases of heart failure. This hormone is produced in greater quantities by the failing heart muscle as fluid levels rise, with a level between one hundred and five hundred pg/mg suggesting congestive heart failure and greater than five hundred being fairly diagnostic; however, an elevated BNP should not be considered to be sufficient evidence upon which to base a positive diagnosis, as conditions such as renal failure, ventricular strain, tumors or hypoxia can also cause BNP levels to rise. Arterial blood gases may be tested to determine the degree of hypoxemia. A decreased erythrocyte sedimentation rate, proteinuria (protein in the urine), and a mild azotemia (elevated blood urea level) can be seen in early to moderate disease. An increased serum creatinine, hyperbilirubinemia (increased bilirubin in the blood) and dilutional hyponatremia (decreased serum sodium levels) are evidence the patient is suffering from a more advanced case of heart failure.

Radiology will also wish to perform imaging studies to evaluate the condition of the heart. A chest x-ray will generally reveal cardiomegaly (enlargement of the heart) and pleural effusion (fluid around the heart). An echocardiogram may be performed to evaluate the internal structures of the heart to evaluate for any structural abnormalities, as in the case of mitral stenosis. This provides evidence to determine the underlying cause of congestive heart failure, particularly in suspected cases of valvular heart disease.

Physicians are like detectives, if you will. Once these tests have all been run they will gather these pieces of evidence together and put them together to form a fairly accurate picture of the patient’s condition, allowing for an accurate diagnosis leading to proper treatment.

Patients Needs for a Healthy Heart

The American College of Cardiology had a meeting to discuss a number of controversial findings on how to treat a patient with congestive heart failure. Not every person is a like therefore; a treatment for one Patient may not work on another one. This has left many Patients scratching their heads over the proper treatment for their cardiovascular condition. The experts have admitted that what works for one heart patient may not work for another one.

There was a study of over 2,300 patients where angloplasty-vs-drug therapy comparison proved the same. The result was that no differences in death, nonfatal heart attacks, strokes or hospitalization between patients with “stable” heart disease treated with medication alone vs. those who got drugs plus angioplasty and stenting.

A physician realizes that you as a patient know your own body and know your own needs such as diets and exercise. A Patients treatment by the medical field solely based accordingly to their needs and accessibility of medical procedures. Each patient should have the right too know what his care will be and what he can do to help prevent congestive heart failure. The patient should plan to make for him or herself a plan of action that will have a healthy lifestyle. Start with diet and exercise the two most important things in your life to improve upon in order to have a healthy heart.

The Patient still has rights over their own body as to the type of treatment and care they want to receive. The Patient should make a list of what they feel in order to discuss with the doctor the symptoms that they are suffering. This will help your doctor in diagnosis of your case and determine the treatment and care that is best for you. You should be able to confer with your physician on any type of treatment recommended and ask for a second opinion if you are not sure about what the procedures recommended for you are right. You can start your own program to help with your condition if you find that congestive heart failure is just around the corner or you already show symptoms.

First, look at your weight. Are you overweight? Do you need a diet? You know the answers to these questions all to well. A diet plan should fit your physical needs, which will help you loose weight and keep the weight off as well. You do not have to join a group or special buy your food in order to go on a diet. There are adequate diets plans available free on the internet. You should check with your physician before you attempt a diet plan. The next thing that you can do is exercise to help loose weight and relieve stress. You can become your own Patient keep track of your vitals, weight loss and any other important information about yourself. A Patient has power to control the way that they live their life.

Medical How It Works Saving the Heart

There is no cure for congestive heart failure, but there are things that you can do to help prolong your life and protect your heart from farther damage. Treatment is a matter of changing your lifestyle and drug therapy, which will change your quality of life. The medical field improvement over the past twenty years has grown in leaps and bounds. Lifestyle changes are the same quit smoking, losing excess weight, drinking less alcohol, and eating healthy low saturated fat and low salt foods. Then do not forget to exercise which is helpful for most patients. This is good advice that is a key to preventing heart failure but the most important is the medical. This is where your physician is very important do not attempt to try to prescribe your own medicines. The physician is well equipped to provide you with the proper medical treatment.

The heart like other parts of our bodies can malfunction in different ways. That is why we should trust the cardiologist a specialist in the medical field. One of the most common medicines prescribed for patients is a beta-blocker. The beta-blocker reduces the heart rate and output of blood by counteracting a hormone called noradrenalin. While this drug can prevent heart failure, it is not recommended for anyone with severe heart failure.

Patients who suffer from fluid retention and/or high blood pressure the medical field suggests that a diuretic will help compensate but some of the side effects is loss of potassium, weakness, muscle cramps, and joint pains. Let your doctor know right away if you feel any ill effects from the diuretic.

This is just an example of some drugs used by the medical field that can help prevent heart failure. There are other treatments that the medical field uses are just as valuable.
Congestive heart failure can become quiet extreme that is why the medical field has been experimenting with heart transplants and mechanical pumps, which are attached to the heart. There is another experimental procedure for severe heart failure, which is available at a few U.S. medical centers. This procedure, called cardiomyoplasty, involves detaching one end of a muscle in the back, wrapping it around the heart, and then suturing the muscle to the heart. An implanted electric stimulator causes the back muscle to contract and pump blood from the heart.

The medical field has also another surgical procedure called mitral valve repair may help extend and improve the lives of people with congestive heart failure. This procedure aims to correct leaky valves resulting from cardiomyopathy, or heart muscle disease, by surgically inserting a flexible annuloplasty ring at the mitral valve opening.

The medical field has made great strides in medicines and in surgical procedures that greatly increase the quality of life, we have. The medical field has experimented with such things as healthy heart diets and specialized exercises that can only help to improve quality of life. Now it is up to you it is your heart!

Living With Heart Failure-How Congestive Heart Failure Impacts Your Life

Living With Heart Failure-How Congestive Heart Failure Impacts Your Life

Heart failure, as well as all the risks that accompany it, can be a terrifying prospect for any man, woman or child. The impact of a heart, the body’s central tool for survival, no longer functioning may seem like the beginning of the end. The good news is, by establishing an effective treatment plan with your cardiologist the prognosis, and the chances for you to lead a normal life, increase exponentially.

Heart failure occurs when the heart can no longer efficiently pump blood throughout the body. The blood pools, and while organs are deprived of vital, life giving oxygen and nutrients the excess sodium that would normally be excreted in the urine builds up in the tissues, resulting in fluid retention that leads to organ stress and the dyspnea that is so common in cases of congestive heart failure. Left untreated, the oxygen deprived organs will eventually cease to function and the patient will die.

Fortunately, there are now many ways to combat the mortality factor associated with heart failure. Doctors can prescribe medications to facilitate the flow of blood through the body and take some of the pressure off the heart; blood thinners can decrease the chances of clots forming in the veins. Aside from medicinal means, there are many factors that may be altered in your lifestyle to impact the prognosis of your disease.

It is essential that the body be given sufficient time to rest in a day. While at rest the heart can more easily pump blood throughout the body; just as you would rest an injured leg when it began to pain you, you should rest your heart as well. On the flip side, it is important to establish a daily exercise routine. It doesn’t have to be three hours of aerobics; a half hour walk every day would have a greater impact on your physical being than nothing. Consult with your physician to find the plan that works best for your individual circumstances.

Along with an exercise plan you should work with your doctor to find the best diet plan for you. In most cases a low sodium diet is recommended to help reduce fluid retention. Diuretics can greatly affect the levels of potassium in the body causing hypokalemia, which can lead to muscle weakness, paralysis and a fatal cardiac arrhythmia; therefore, very often if you have been given a diuretic to take daily a potassium supplement will also be prescribed.

Nicotine can create a serious problem for patients with heart failure. It increases the heart rate and blood pressure while having a negative impact on the oxygen level in the blood. All of these things cause the heart to work harder. It is strongly recommended that if you have been diagnosed with heart failure you quit smoking completely.

Hand in hand with smoking are the inherent dangers associated with contracting a case of pneumonia or flu. If you are able you should receive an annual flu shot, as well as the one time dose of pneumococcal vaccine. This will provide some level of protection against pneumococci bacteria, the major cause of bacterial pneumonia. Pneumonia is a problem for the same reasons as smoking; the decreased oxygen levels in the blood cause the heart to work harder in an attempt to compensate and get oxygen to the organs and tissues. If possible, avoid crowded areas during cold and flu season, and stay away from people you know are sick.

Amazingly, something as simple as the clothes you wear can impact your condition if you have suffered heart failure. Tight clothing can cause blood clots and restrict blood flow to the extremities. In addition, in cases of extreme temperature your clothes should be weather appropriate; if the body has to work to maintain its temperature the heart will have to work that much harder.

Sexual relations can usually be continued as before; however, they should occur in as peaceful an environment as possible to prevent undue stress. If your condition is severe it is important that you discuss this with your physician; it may be necessary to forego sexual relations for a time in favor of other, less stressful shows of affection.

Each of these steps will help you continue to live much as you did before being diagnosed. Heart failure will inevitably impact your life; it is entirely up to you how much.