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
      • Nocturia

    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