Heart failure

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Heart failure

  1. 1. HEART FAILURE BY: DR. M. ABDEL SATTAR
  2. 2. DEFENITION
  3. 3. CLASSIFICATION ACUTE *CHRONIC * SYSTOLIC *DIASTOLIC* LT SIDED *RT SIDED*
  4. 4. CAUSES & RISK FACTORS ISCHEAMIC HEART DISEASE* DILATED CARDIOMYOPATHY* HYPERTENSION* FAMILIAL* POST PARTUM* CHEMOTHERAPY* RADIOTHERAPY *VALVULAR* LESIONS
  5. 5. PRECIPITANTS REDUCTION IN THERAPY* ARRYTHMIAS* MYOCARDIAL ISCHEAMIA OR* INFARCTION INFECTION* DRUGS* ANAEMIA* ALCOHOL* PULMONARY EMBOLISM*
  6. 6. CLINICAL PICTURE DYSPNOEA FATIGUE PND ORTHOPNOEA PALPITATIONS RAISED JVP .HEPATOMEGALY. .OEDEMA. .CHEST PAIN . .CACHEXIA. .SLEEP APNOEA. .GALLOP RHYTHM.
  7. 7. INVESTIGATIONS ECG* CHEST X-RAY* ECHO* BLOOD TEST* SPECIFIC TESTS*
  8. 8. DIFFRENTIAL DIAGNOSIS OBESITY *RENAL DISEASE* CHEST DISEASE *HEPATIC DISEASE* .VENOUS INSUFFCIENCY IN L.L* DRUGS *SEVERE ANAEMIA* HYPOALBUNAEMIA* DEPRESSION *THYROID DISEASE*
  9. 9. MANAGEMENT DIURETICS* ACE INHIBITORS* ARBs* B BLOCKERS* ALDOSTERONE RECEPTOR* ANTAGONIST CARDIAC GLYCOSIDES*
  10. 10. MANAGEMENT . VASODILATORS* POSITIVE INOTROPIC SUPPORT* ANTIPLATELET* ANTICOAGULANT* .MISC* cont
  11. 11. MANAGEMENT cont . DEVICE THERAPY* SURGERT (valve surgery – CABG – assist * (devices TRANSPLANTATION*
  12. 12. ?WHAT NOT TO GIVE NSAIDS* B STIMULANTS* VASCON *
  13. 13. THANK YOU

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