Chronic heart failure

What is congestive heart failure?

In a healthy heart reductions predserdy and testing occur consecutively and synchronously. Against the background of various diseases of the cavity dilâtiruûtsâ (expand) and lose their ability to simultaneous reduction. Dissinhroniâ which leads to a decrease in the pumping function of the heart and the progression of heart failure.

Heart failure is the State of, where the heart has lost the ability to pump blood in the right amount and does not meet the body's need for oxygen. Such inefficiencies can lead to stagnation (edema of the lower limbs), as well as to violations of other organs and systems – light, Liver, Kidney.

can develop in people, with the following diseases:

  • coronary heart disease (ИБС);
  • myocarditis, cardiomyopathy, myocardiodystrophy;
  • heart rhythm disorders (arrhythmia);
  • congenital and acquired heart defects;
  • hypertension;
  • violation of mežželudočkovogo and intraventricular spending, and, as a consequence of, mechanical dissinhroniâ of the heart.

All of these diseases can lead to the development of Heart Failure by reducing contractility of the heart muscle, inadequate filling of the heart blood, the overflow of the heart too large amounts of blood.

The main symptoms of chronic heart failure:


The degree of symptoms indicates the severity of chronic heart failure, that varies depending on the time of daily loads, the symptoms in the physical rest, Save the swelling on the shins until the morning, sleep disturbance due to shortness of breath, forced in bed (with a raised headboard).

As the doctor establishes the diagnosis "heart failure»

Diagnosis of chronic heart failure implies not only the finding of the existence of, but the investigation of the causes of, that led to its creation. To this end, carry out complex surveys, usually includes ECG (alone and, sometimes, during exercise), x-rays of the chest, Ultrasound study of the heart (echocardiography) and so on.

Basic principles for the treatment of chronic heart failure

  • Changes in diet: the amount of fluid and salt intake should be reduced (recommended rule – no more 1 – 1,5 litres and not more than 2 g. salt a day);
  • Change the number of loads: physical activity should be moderate, with sufficient rest;
  • Medication: taking drugs is a necessary condition of treatment of heart failure. Relevant medications (There may be several) assigned to eliminate symptoms (edema, shortness of breath, etc.);
  • Coronary artery bypass surgery, transluminal balloon angioplasty as well as apply, If the reason for the development of chronic heart failure has become a constrictive arteriosclerosis coronary arteries;
  • Operation heart transplant – This method of treatment is applied, If the above treatments do not give due effect.

Cardiac resynchronization therapy It is a modern effective treatment of chronic heart failure (in combination with asynchronous work ventricular heart).

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