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Archive for August, 2009

Heart Failure Disease

Heart Failure Disease which in medical terms is called the “Heart Failure or Cardiac Failure”, is a medical emergency in which the amount of blood pumped by the heart a person every minute (cardiac output (cardiac output)) is not able to meet the needs of the body’s metabolism to normal.

Impact of rapid heart failure affect the deficiency of blood supply, thereby causing cell death due to lack of oxygen carried in the blood yand itself. Lack of oxygen supply to the brain (Cerebral Hypoxia), causes a person to lose consciousness and stop breathing suddenly leading to death.

Congestive heart failure in infants and children is very common emergency encountered by health workers everywhere. Complaints and symptoms vary widely so it is often difficult to distinguish from other diseases caused outside the heart.

Conditions in heart failure is not a disease means that the heart stops working (cardiac arrest), but the heart is no longer able to pump blood as day-to-day task for a person’s body.

# Classification of Diseases Heart Failure

The heart space is divided into four rooms and porches Porch left-right separated by a septum intratrial, then right and left ventricle chamber separated by a septum interventrikular.

Heart failure can occur on one side of the heart, such as heart failure or left side heart failure right side only.

# Cause Disease Heart Failure

Heart failure can be caused by primary disorders of the heart muscle itself or the excessive burden of heart or a combination thereof. Broadly speaking, the factors likely to cause cardiac disease are the people who have hipertenisi disease, hypercholesterolemia (high cholesterol), smoker, diabetes (diabetes), obesity (overweight) and someone who has a family history of heart disease and life course patterns irregular and less to sports.

# Signs and Symptoms of Heart Failure Disease

Signs and symptoms of heart failure can be differentiated based on which parts of the heart’s pumping of blood is broken, details as follows:

1. Left heart failure; cause collection of fluid in the lungs (pulmonary edema), which causes severe shortness of breath. Shortness of breath initially felt only when the person doing the activity, but in line with worsening shortness of breath, the disease will also arise when patients do not perform the activity. While other marks are quickly tired (fatigue), anxiety / worry (anxity), rapid heartbeat (tachycardia), cough and irregular heart rhythm degub (Arrhythmia).

2. While the right of heart failure; tend to result in the collection of blood that flows into the right heart. So this causes swelling in the feet, ankles, legs, abdomen (ascites) and liver (hepatomegaly). Other signs are nausea, vomiting, fatigue, rapid heartbeat and frequent urination (urine) at night (nocturia).

# Diagnosis of Heart Failure Disease

Usually, the diagnosis is established on the basis of signs and symptoms complained of or that looked directly at examination. To strengthen the diagnosis, the doctor will do various checks, for example;

1. Physical examination, the pulse weak and fast, reducing blood pressure, abnormal heart sounds, enlarged heart, swollen neck veins, fluid in the lungs, liver enlargement, weight gain is rapid, swollen abdomen or leg.
2. X-ray examination or X-ray (X-ray), in the chest may reveal cardiac enlargement and the accumulation of fluid in the lungs.
3. Echocardiography examination (using sound waves to depict the heart) and electrocardiogram (electrical activity of the heart rate).

# Treatment of Heart Failure Disease

In the treatment or care of patients with heart failure cases, there are three fundamental things that a reference, among others; treatment of heart failure itself, treatment of underlying diseases and treatment of trigger factors.
Included in the medical treatment which is to reduce salt and fluid retention, increased cardiac contractility and reduce expenses. While handling generally includes rest, setting the temperature and humidity, oxygen, fluids and diet.

The provision of medicines, such as inotropes drugs (digitalis, inotropes drugs intravenously), vasodilator drugs (arteriolar dilators: hidralazin), venodilator (nitrate, nitroglycerin), mixed dilators (prazosin, captopril, nitroprusid), diuretics and drugs dysrhythmias.

Surgical intervention, this is usually done to address congenital heart disease (palliative, corrective) and acquired heart disease (valvuloplasti, valve replacement).

# Prevention of Heart Failure Disease

For those of you who feel the existence of signs and symptoms as mentioned above, should immediately memeriksaakan myself to the doctor. Reduce the factors that can cause heart failure conditions, stop smoking, reduce the consumption of fatty foods, try exercise, patterns or danger of life regularly.

Obviously for those who suffered or suffer from diseases that can result in heart failure should lead the attack routine kontrolkan to a doctor, for example patients with high blood pressure (Hypertension), diabetes (Diabetes), plaque buildup (cholesterol or other) in the blood vessels of the heart ( Coronary Artery Disease).