Heart failure
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Transcript of Heart failure
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