Chronic heart failure
Chronic heart failure
- Clinical manifestation
- Dependent on age, underlying type and extent of heart disease, and which ventricle is affected
- FACES
- Fatigue
- Limitation of Activities
- Chest congestion/cough
- Edema
- Shortness of breath
- Fatigue
- Dyspnea
- Orthopnea
- Paroxysmal nocturnal dyspnea
- Tachycardia
- Edema
- Dependent, liver, abdominal cavity, lungs
- Edema may be pitting in nature
- Sudden weight gain of >3 lb (1.4 kg) in 2 days may indicate ADHF, an exacerbation of chronic HF
- Nocturia
- Edema
- Dependent, liver, abdominal cavity, lungs
- Edema may be pitting in nature
- Sudden weight gain of >3 lb (1.4 kg) in 2 days may indicate ADHF, an exacerbation of chronic HF
Heart failure
- Complications
- Pleural effusion
- Dysrhythmias – atrial and ventricular
- Left ventricular thrombus
- Hepatomegaly
- Renal failure
- Diagnostic studies
- Determine and treat underlying cause
- Echocardiogram
- Provides information on EF, heart valves and heart chambers
- ECG, chest x-ray, 6-minute walk test, MUGA scan, cardiopulmonary exercise stress test, heart catheterization, EMB
- BNP levels