HEART FAILURE

HEART FAILUREDr. Dian Zamroni, Sp.JP, FIHA

Definition of heart failureClinical syndrome that can result from any structural or functional cardiac disorder that impairs the ability of the ventricle to fill with or eject blood

A syndrome caused by cardiac dysfunction- Generally resulting from myocardial muscle dysfunction or loss- Characteristic by left ventricular dilatation or hypertrophy- Leading to neurohormonal and circulatory abnormalities and characteristic symptoms :- fluid retention- shortness of breath- fatique, especially on exertionAHA / ACC HF guidelines 2001

AHA / ACC HF guidelines 2001HFSA guideline 2006

EPIDEMIOLOGY

EPIDEMIOLOGY

Heart Failure

New York Heart Association (NYHA) Functional Classification

Class% of patientsSymptoms I 35%No symptoms or limitations in ordinary physical activity II 35%Mild symptoms and slight limitation during ordinary activity III 25%Marked limitation in activity even during minimal activity. Comfortable only at rest IV 5%Severe limitation. Experiences symptoms even at rest