Heart Failure
Professor Samir S. al
-msalha
MD, FRCPE
Definition
 Low

output heart failure
 High output heart failure
Types Of Heart Failure
 Left

heart failure
 Right heart failure
 Congestive heart failure
 Less commonly ( Forward or...
Causes OF LV Failure
 Ischemic

heart disease
 Hypertensive heart disease
 Cardiomyopathy
 Valvular heart disease
 Rh...
Causes Of Right Heart
Failure
 Mitral

Stenosis With pulmonary
Hypertenion
 Primary pulmonary hypertension
 Secondary p...
Causes Of Congestive Heart
Failure
 All

causes of LV failure When They
develop Pulmonary Hypertension
Precipitating Causes Of Heart
Failure
 Cardiac

Arrhythmias
 Pulmonary Embolism
 Hypertensive Crises
 Chest Infection
...
Symptoms Of Left Heart Failure
Dyspnoe ( Exertional , PND ,
Orthopnoe )
Fatigue
Nocturia
Signs Of Left Heart Failure
 Dyspnoe
 Signs

Of Cardiac Dilatation OR
Hypertrophy ( Hyperdynemic or
Sustained Apex beat ...
Symptoms Of RT Heart
Failure
 Fatigue
 Dependent

Oedema
 Enlarged Congested Liver
 Anorexia And Abdominal Distension
Signs OF RT Heart Failure
 High

JVP With Positive Hepato –
Jugular Reflux
 Dependent Oedema
 Ascites
 Pleural Effusio...
Diagnosis Of Heart Failure
 History
 Signs
 Chest

X-RAY
Investigations
 Chest

X-RAY

 ECG
 Echocardiography
 CBC,Renal

Profile,FBS,Lipids,ABG,s
Treatment Of Heart Failure
 Bed

Rest (Acute Stage) ,Later On
Decreased Physical Activity
 Oxygen Therapy
 Low Salt Die...
Heart failure
Heart failure
Heart failure
Heart failure
Heart failure
Heart failure
Heart failure
Heart failure
Heart failure
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Heart failure

  1. 1. Heart Failure Professor Samir S. al -msalha MD, FRCPE
  2. 2. Definition  Low output heart failure  High output heart failure
  3. 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. 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. 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. 6. Causes Of Congestive Heart Failure  All causes of LV failure When They develop Pulmonary Hypertension
  7. 7. Precipitating Causes Of Heart Failure  Cardiac Arrhythmias  Pulmonary Embolism  Hypertensive Crises  Chest Infection  Drugs  Excessive Salt  Fluid Overload  Pregnancy  Thyrotoxicosis  Anaemia
  8. 8. Symptoms Of Left Heart Failure Dyspnoe ( Exertional , PND , Orthopnoe ) Fatigue Nocturia
  9. 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. 10. Symptoms Of RT Heart Failure  Fatigue  Dependent Oedema  Enlarged Congested Liver  Anorexia And Abdominal Distension
  11. 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. 12. Diagnosis Of Heart Failure  History  Signs  Chest X-RAY
  13. 13. Investigations  Chest X-RAY  ECG  Echocardiography  CBC,Renal Profile,FBS,Lipids,ABG,s
  14. 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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