بسم الله الرحمن الرحيم
What heart failure?
- Heart failure Heart failure - what a scary term. Unfortunately, heart failure rooted in people's minds the idea of cardiac arrest just for work. Perhaps
the best term is the heart broken, and this means that either does not
pump blood properly or is not receiving blood supply well.
It is also important to understand that there are two types of heart failure. Sometimes Avsrh that heart failure is weak weak - heart heart failure and heart failure stiff stiff - heart heart failure.
The heart is weak
* Can you explain the difference?
- Weak heart has difficulty pumping blood. The
doctors called the disease the name of «systolic heart failure»
(Systolic dysfunction heart failure) or «low ejection fraction deficit»
(Low-ejection - fraction heart failure.)
* Excuse me .. What does it mean ejection fraction?
- Ejection fraction is the amount of blood pumped from the heart with each beat. The ratio of ejection fraction in heart sound about 60 per cent. If the ejection fraction decreased from 50 per cent, this means that there is an abnormal situation. And
many people suffer from symptoms such as fatigue or difficulty
breathing when the ratio drops from 40 per cent, but some will not show
any symptoms of a strange but when the figure is less than 30 per cent.
Avhmt difference? Now to go back to the difference between heart failure and a weak heart failure stiff.
The
stiff heart failure is a condition quite different, wherein the amount
of blood the heart pumps enough, but due to Tabsa, it does not loosen,
and increase the pressure inside the heart. Doctors and refers to the inability of the heart stiff as systolic heart failure or heart failure to keep up with the contract.
Fall about half the cases of heart failure within the category of heart failure stiff, but are not observed.
However, the main symptoms are usually similar in the two species. Usually the first symptom is difficulty in breathing and stress. The
symptoms result from the subsequent fluid retention in the body, which
can cause shortness of breath at rest, swelling of the legs and abdomen.
Fluid retention
* Fluid retention is a major problem in disease, heart failure, is not it?
- Yes, it is not just a show. It is already the center of the problem of heart failure. The part of the body's response in the process of «confrontation or escape» is the occurrence of fluid retention. But
the reaction of reflex wrong, and can cause increase the amount of
fluid trapped body in consequences more harmful, since the heart is
under stress when increasing the amount of fluid, and then become more
vulnerable or more stiff, which leads to retention of a larger amount of
fluid the body and more pressure on the heart.
And Kaared, the fluid retention does not appear through the swelling of the ankles only. The offer, but shortness of breath experienced by patients with heart failure is a consequence of fluid in the lungs. And can also collect body fluids in the abdomen and consequently affect the appetite and digestion.
Q: How can I treat fluid retention?
- Through drugs, diuretics, such as «Lasix» Lasix] furosemide [furosemide. In
the case of sodium retention, we try to reduce the amount of sodium
trapped in the bodies of people with heart failure daily value of
Grameen.
Q: How can treat heart failure the same?
-
Are inhibitors of angiotensin-converting enzyme (ACE inhibitors) and
beta blockers (beta blockers) basic types of medications used in
treatment. It
seems that inhibitors of angiotensin-converting enzyme helps in the
stability of the condition, but beta-blockers, can make the heart
stronger and leaner.
Devices to regulate heart
* Let's talk about growing organs within the heart. Is suitable for a weak heart or stiff?
- Suitable for a weak heart. With
the expansion of the heart and amplified in the type of weak heart from
heart failure, hang the electrical system that coordinates the heart
beat. And this can lead to two pathologies can be countered by planting battery-operated devices. In some cases, you can not Ahadjirtan Ambasslitan, or ventricles, to pump the heart simultaneously. In
this case, can be used to your heart ventricular pacemaker to address
this imbalance and make Ahadjirtin working in concert again. You
may find that this type of treatment is referred to as the
re-synchronization therapy heart (cardiac resynchronization therapy). Has achieved such great progress in the treatment of heart failure.
Also, the heart is weak oversized quick to respond to electrical stimuli. And
this can lead to disorder in the heart threatens the patient's life -
where the knock booths heart very quickly, and you know this case as
heart palpitations Tachycardia)), or to the trembling inconsistent, a
condition known as ventricular fibrillation ((ventricular fibrillation.
Can be treated cases
by planting a treat irregular heartbeat shocks cardioverter -
defibrillator or a «IDC» ICD, which makes the heart go back again to the
natural rhythm. that this machine makes you feel as if there paramedics
inside your chest.
Saving
devices «IDC» the life of some patients with heart failure, but I think
that many patients overestimate the benefit of the use of such devices.
* Can you explain in more detail?
- Certainly. First,
it will not save your «IDC» your life, if you suffer from a case of
irregularity in the heartbeat threaten your life as a result of
infection status of other conditions, such as stroke.
Second, most patients with heart failure do not die because of the irregularity in the heartbeat of life-threatening. The
most cases of the death of patients with heart failure in a common
defect in their heart function gradually, as it slows down the flow of
blood, and then break down the body's systems. Also, more advanced in age, the less likely a result of injury and missed a condition unrelated to heart failure at all.
Do not get me wrong - that the devices «IDC» formed a great advance for patients who are most at risk of arrhythmias, lethal. But the price of the system and the cost of planting up to about $ 40,000. Therefore
I think we should we discuss the best ways to use the devices «IDC», as
it though it is planting thousands of these devices in each year, they
will not be useful for many.
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موضوع: heart failure 
