๐ Classification of heart failure: heart failure with reduced ejection fraction and heart failure with preserved ejection fraction.
๐ Clinical presentation, diagnosis, and management of heart failure, including new heart failure medicine.
๐ฉบ Importance of patient education in improving outcomes and the role of left and right-sided heart failure in congestive heart failure.
๐ก Right-sided heart failure is often neglected compared to left-sided heart failure.
๐ฉธ There are three main causes of right-sided heart failure: volume overload, pressure overload, and disease.
๐ Pulmonary hypertension is a common complication of respiratory conditions and can lead to right ventricular failure.
๐ก Shortness of breath and reduced exercise tolerance are red flags for heart failure.
๐ฉธ Clinical signs of right-sided heart failure include raised jugular venous pressure, peripheral edema, and abdominal fluid accumulation.
๐ฉบ Assessing the jugular venous pressure and conducting a physical examination are important clinical skills for diagnosing heart failure.
๐ In diagnosing heart failure, it is important to determine the underlying cause through tests and investigations such as blood tests, ECG, angiogram, and echocardiogram.
๐ BNP blood test is specific for heart failure and can be used to rule out the condition. A normal BNP level indicates no heart failure.
๐ Echocardiogram is a valuable non-invasive tool to diagnose and assess heart failure, but its availability is limited due to high demand.
๐ธ Echo cardiologists prioritize echo requests based on specific criteria.
๐ Ejection fraction is used to assess pump function in the heart, with 60-80% considered normal.
๐ Echo imaging helps identify heart failure, enlargement of the ventricles, and potential causes such as valve abnormalities.
๐ฉบ In congestive heart failure, management involves balancing heart rate, afterload, and contractility.
๐ Treatment options for congestive heart failure include CPAP for pulmonary edema, diuretics to reduce fluid, ACE inhibitors to reduce sodium production, and beta blockers to control heart rate.
๐ฅ In a hospital setting, inotropic medicines can improve contractility, and balloon pump technology can be used in acute left ventricular failure.
๐ Monitoring weight is crucial in managing congestive heart failure.
๐ Medications and lifestyle changes can help improve heart function.
๐ฉบ Shortness of breath is a key symptom of heart failure in elderly patients.
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