HEART HEART FAILUREFAILURE

BY: DR. M. ABDEL SATTARBY: DR. M. ABDEL SATTAR

DEFENITIONDEFENITION

CLASSIFICATIONCLASSIFICATION**ACUTE *CHRONICACUTE *CHRONIC

**SYSTOLIC *DIASTOLICSYSTOLIC *DIASTOLIC

**LT SIDED *RT SIDEDLT SIDED *RT SIDED

CAUSES & RISK CAUSES & RISK FACTORSFACTORS

**ISCHEAMIC HEART DISEASEISCHEAMIC HEART DISEASE

**DILATED CARDIOMYOPATHYDILATED CARDIOMYOPATHY

**HYPERTENSIONHYPERTENSION

**FAMILIALFAMILIAL

**POST PARTUMPOST PARTUM

**CHEMOTHERAPYCHEMOTHERAPY

**RADIOTHERAPY *VALVULAR RADIOTHERAPY *VALVULAR LESIONSLESIONS

PRECIPITANTSPRECIPITANTS**REDUCTION IN THERAPYREDUCTION IN THERAPY

**ARRYTHMIASARRYTHMIAS**MYOCARDIAL ISCHEAMIA OR MYOCARDIAL ISCHEAMIA OR

INFARCTIONINFARCTION**INFECTIONINFECTION

**DRUGSDRUGS**ANAEMIAANAEMIA**ALCOHOLALCOHOL

**PULMONARY EMBOLISMPULMONARY EMBOLISM

CLINICAL PICTURECLINICAL PICTURE..DYSPNOEA .HEPATOMEGALYDYSPNOEA .HEPATOMEGALY

..FATIGUE .OEDEMAFATIGUE .OEDEMA

..P N D .CHEST PAINP N D .CHEST PAIN

..ORTHOPNOEA .CACHEXIAORTHOPNOEA .CACHEXIA

..PALPITATIONS .SLEEP APNOEAPALPITATIONS .SLEEP APNOEA

..RAISED JVP .GALLOP RHYTHMRAISED JVP .GALLOP RHYTHM

INVESTIGATIONSINVESTIGATIONS**ECGECG

**CHEST X-RAYCHEST X-RAY

**ECHOECHO

**BLOOD TESTBLOOD TEST

**SPECIFIC TESTSSPECIFIC TESTS

DIFFRENTIAL DIFFRENTIAL DIAGNOSISDIAGNOSIS

**OBESITY *RENAL DISEASEOBESITY *RENAL DISEASE

**CHEST DISEASE *HEPATIC DISEASECHEST DISEASE *HEPATIC DISEASE

**VENOUS INSUFFCIENCY IN L.LVENOUS INSUFFCIENCY IN L.L..

**DRUGS *SEVERE ANAEMIADRUGS *SEVERE ANAEMIA

**HYPOALBUNAEMIAHYPOALBUNAEMIA

**DEPRESSION *THYROID DISEASEDEPRESSION *THYROID DISEASE

MANAGEMENTMANAGEMENT**DIURETICSDIURETICS

**ACE INHIBITORSACE INHIBITORS

**ARBsARBs

**B BLOCKERSB BLOCKERS

**ALDOSTERONE RECEPTOR ALDOSTERONE RECEPTOR ANTAGONISTANTAGONIST

**CARDIAC GLYCOSIDESCARDIAC GLYCOSIDES

MANAGEMENT MANAGEMENT contcont..

**VASODILATORSVASODILATORS

**POSITIVE INOTROPIC SUPPORTPOSITIVE INOTROPIC SUPPORT

**ANTIPLATELETANTIPLATELET

**ANTICOAGULANTANTICOAGULANT

**MISCMISC..

MANAGEMENTMANAGEMENT contcont..

**DEVICE THERAPYDEVICE THERAPY

**SURGERT (valve surgery – CABG – SURGERT (valve surgery – CABG – assist devices)assist devices)

**TRANSPLANTATIONTRANSPLANTATION

WHAT NOT TO GIVEWHAT NOT TO GIVE??**NSAIDSNSAIDS

**B STIMULANTSB STIMULANTS

**VASCONVASCON

THANK YOUTHANK YOU