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NailaGhole
 Introduction
 Etiology
 Factors
 Types
 Clinical features
 Investigations
 Treatment
 Complications
 D/D
 Inability of the heart to maintain adequate
cardiac output to meet the demands of the
body.
 Cardiac output is normal at rest & only
becomes impaired when the metabolic
demand increases during exercise or in some
other form of stress.
 Reduced ventricular contractility
 Ventricular outflow obstruction (pressure oveload)
 Ventricular inflow obstruction
 Ventricular volume overload
 Arrhythmia
 Diastolic dysfunction
 Coronary artery disease
 HTN
 Faulty heart valves
 Cardiomyopathy
 Myocarditis
 Congenital heart dieases
 DM
 Drugs
 Sacoidosis
 Alcohol
 Myocardial ischemia
 Intercurrent illness e.g. infection
 Inappropriate reduction of therpy
 Pulmonary embolism
 Pregnancy
 Thyrotoxicosis
 Anemia
 I/V fluid overload
Heart Failure
Acute Heart Failure Chronic Heart Faiure
Sudden onset of Relapsing & remitting
dyspnea
Clinical Features
-Raised JVP -Raised JVP
-Pulmonary Oedema -Acsites
-Cardiomegaly -Hepatomegaly
-Pleural Effusions -Peripheral pitting
-Pitting Oedema oedema
 ECG
 X-ray chest
 Blood CP
 LFT’s
 Urea & creatinine
 Serum electrolytes
 Cardiac enzymes
 Thyroid function test
 Myocardial biopsy
 Resting & stress radionuclide angiography
 ETT
 Cardiac catheterization
General measures for the management of heart
failure:
 Education
 Diet
 Alcohol
 Smoking
 Exercise
 Vaccination
Diuretics:
 Thiazide Furosemide
 Spironolactone
Vasodilators:
 ACE inhibitors
 Angiotensin-receptor antagonist
 Nitrates, Hydralazine
Digitalis
β- blockers
Anti-ischemic therapy
Anticoagulants
Coronary revascularization
Biventricular pacing
Left ventricular assist devices
Cardiac transplantation
 Uremia
 Hypokalemia
 Hyponatremia
 Hyperkalemia
 Impaired liver function
 Thromboembolism
 Arrhythmias
 Acute renal failure
 Acute respiratory distress syndrome (ARDS)
 Bacterial pneumonia
 COPD
 Emphysema
 Goodpasture syndrome
 MI
 Nephrotic syndrome
 Pulmonary embolism
 Respiratory failure
 Venous insufficiency
 Pneuomothorax
 Cirrhosis

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Cardiac failure

  • 2.  Introduction  Etiology  Factors  Types  Clinical features  Investigations  Treatment  Complications  D/D
  • 3.  Inability of the heart to maintain adequate cardiac output to meet the demands of the body.  Cardiac output is normal at rest & only becomes impaired when the metabolic demand increases during exercise or in some other form of stress.
  • 4.  Reduced ventricular contractility  Ventricular outflow obstruction (pressure oveload)  Ventricular inflow obstruction  Ventricular volume overload  Arrhythmia  Diastolic dysfunction  Coronary artery disease  HTN  Faulty heart valves  Cardiomyopathy  Myocarditis  Congenital heart dieases  DM  Drugs  Sacoidosis  Alcohol
  • 5.  Myocardial ischemia  Intercurrent illness e.g. infection  Inappropriate reduction of therpy  Pulmonary embolism  Pregnancy  Thyrotoxicosis  Anemia  I/V fluid overload
  • 6. Heart Failure Acute Heart Failure Chronic Heart Faiure Sudden onset of Relapsing & remitting dyspnea Clinical Features -Raised JVP -Raised JVP -Pulmonary Oedema -Acsites -Cardiomegaly -Hepatomegaly -Pleural Effusions -Peripheral pitting -Pitting Oedema oedema
  • 7.  ECG  X-ray chest  Blood CP  LFT’s  Urea & creatinine  Serum electrolytes  Cardiac enzymes  Thyroid function test  Myocardial biopsy  Resting & stress radionuclide angiography  ETT  Cardiac catheterization
  • 8. General measures for the management of heart failure:  Education  Diet  Alcohol  Smoking  Exercise  Vaccination
  • 9. Diuretics:  Thiazide Furosemide  Spironolactone Vasodilators:  ACE inhibitors  Angiotensin-receptor antagonist  Nitrates, Hydralazine Digitalis β- blockers Anti-ischemic therapy Anticoagulants Coronary revascularization Biventricular pacing Left ventricular assist devices Cardiac transplantation
  • 10.  Uremia  Hypokalemia  Hyponatremia  Hyperkalemia  Impaired liver function  Thromboembolism  Arrhythmias
  • 11.  Acute renal failure  Acute respiratory distress syndrome (ARDS)  Bacterial pneumonia  COPD  Emphysema  Goodpasture syndrome  MI  Nephrotic syndrome  Pulmonary embolism  Respiratory failure  Venous insufficiency  Pneuomothorax  Cirrhosis