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Heart failure
Heart failure
Heart failure
Heart failure
Heart failure
Heart failure
Heart failure
Heart failure
Heart failure
Heart failure
Heart failure
Heart failure
Heart failure
Heart failure
Heart failure
Heart failure
Heart failure
Heart failure
Heart failure
Heart failure
Heart failure
Heart failure
Heart failure
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Heart failure

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  • 1. Heart Failure Professor Samir S. al -msalha MD, FRCPE
  • 2. Definition  Low output heart failure  High output heart failure
  • 3. Types Of Heart Failure  Left heart failure  Right heart failure  Congestive heart failure  Less commonly ( Forward or Backward heart failure)  Acute heart failure  Chronic heart failure
  • 4. Causes OF LV Failure  Ischemic heart disease  Hypertensive heart disease  Cardiomyopathy  Valvular heart disease  Rheumatic heart disease  Congenital heart disease ( i.e HOCM and VSD )
  • 5. Causes Of Right Heart Failure  Mitral Stenosis With pulmonary Hypertenion  Primary pulmonary hypertension  Secondary pulmonary hypertension  Pulmonary embolism  Certain congenital heart disease affecting the right side (i.e pulmonary stenosis,ASD with reversed shunt, Tricuspid atresia,Ebstein anomaly,RV dysplasia)  Corpulmonale
  • 6. Causes Of Congestive Heart Failure  All causes of LV failure When They develop Pulmonary Hypertension
  • 7. Precipitating Causes Of Heart Failure  Cardiac Arrhythmias  Pulmonary Embolism  Hypertensive Crises  Chest Infection  Drugs  Excessive Salt  Fluid Overload  Pregnancy  Thyrotoxicosis  Anaemia
  • 8. Symptoms Of Left Heart Failure Dyspnoe ( Exertional , PND , Orthopnoe ) Fatigue Nocturia
  • 9. Signs Of Left Heart Failure  Dyspnoe  Signs Of Cardiac Dilatation OR Hypertrophy ( Hyperdynemic or Sustained Apex beat )  Third Heart Sound ,Pulsus Alternans  Sinus Tachycardia  Lung Crepitations Or Pleural Effusions  Signs Of The Underlying Cause
  • 10. Symptoms Of RT Heart Failure  Fatigue  Dependent Oedema  Enlarged Congested Liver  Anorexia And Abdominal Distension
  • 11. Signs OF RT Heart Failure  High JVP With Positive Hepato – Jugular Reflux  Dependent Oedema  Ascites  Pleural Effusions  Tricuspid Regurgitation Murmurs  Signs Of The Underlying Cause
  • 12. Diagnosis Of Heart Failure  History  Signs  Chest X-RAY
  • 13. Investigations  Chest X-RAY  ECG  Echocardiography  CBC,Renal Profile,FBS,Lipids,ABG,s
  • 14. Treatment Of Heart Failure  Bed Rest (Acute Stage) ,Later On Decreased Physical Activity  Oxygen Therapy  Low Salt Diet  Treatment Of The Precipitating Cause  Treatment Of The Underlying Cause  Diuretics  ACE Inhibitors  Beta blockers (Under Certain Conditions )  Digitalis  Anticoagulation  Implantable ICD  Cardiac Transplantation

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