Heart failure management guidelines
Common Questions and Answers about Heart failure management guidelines
heart
That just seems odd when a measurement under 40% is most often evidence of heart failure or cardiomyopathy.I have had heart failure since I was 39 and am now 48,It took me nearly 2 years to get disability.He should file. We will all die,but nobody can say for certain that the work your husband does will increase the rate of when he dies. The very least he should think about himself and want some comfort in life not working himself so hard that he falls asleep on his way home from work.
s nearly 30 years ago and I think heart failure would have begun years ago from that. What you need to establish is the cause of the heart failure. Have there been more blockages in the arteries that haven't been treated? was there as infection involved? I get the impression that artery blockages have been the cause, hence the pacemaker requirement because the normal cells transmitting the signal have been killed. The question would be, why didn't they treat those blockages?
Xrays and ekg were done and the vet thinks ity may be congestive heart failure. There is a chance it is heartworm, so they are doing that test as well. If the heartworm was negative, they were going to start her on nitroglycerin and lasix to bring her heart rate down.
They suggested I take to to an emergency clinic tonight so she can be seen by a cardiologist tomorrow.
If they do administer the nitro and lasix, what more can the E.C. do overnight while waiting for the cardiologist.
The heart will ultimately give-in, resulting usually in cardiac failure (heart attack). But with good management, proper treatment, careful monitoring by the vet (involving regular check-ups), low-salt diet, moderate exercise but no excitement or over-exertion, and lots of TLC, many dogs live a fairly full and contented life.
My husband had a heart attack one month ago. His distal circumflex is 100% blocked. Attempted to stent it and it was too calcified to stent. He has very good collaterals in this area. Proximal LAD is blocked 50%. Mid RCA is blocked 60%. 1st marginal is blocked 50%. 1st diagonal is blocked 70%. Interventional cardiologist said he will do fine with medical management. He said that stents do not prevent heart attacks and can cause their own problems. He has no angina.
Heart failure management depends largely on the cause of heart failure. If congestive heart failure is due to systolic dysfunction due to either coronary artery disease, primary cardiomyopathy or valvular heart disease the treatment mostly consisting of medical therapy and in the case of coronary artery disease or valvular diseaes of intervention or surgery.
I won't share any don't do it advice but WILL say that it is best to have a doctor guiding you. Not everyone wants to be on medication as all meds can have side effects. Did you have high blood pressure? There are natural ways to treat that which include mostly lifestyle. Exercise is like taking a medication! The American Heart Association has been really helpful to me in terms of guidelines. 30 minutes a day of moderate exercise for 5 days a week.
Seven years ago I had a mild heart attack and in ICU for several days with congested heart failure. I had a stent implant for a 98% blocked right coronary artery, 70% circumflex no intervention, and 100% blocked LAD. The LAD had developed collateral vessels (natural bypass) to supply blood to the area normally supplied by the LAD. I have been successfully treated with medication and today my heart has returned to normal size and effectively pumping blood into circulation.
https://www.webmd.
arteries, if they are totally blocked, is still beneficial and might prevent future heart failure, another heart attack, or death. However, according to the results of a large international multi-center clinical trial, stable patients who had angioplasty plus stenting three to 28 days after a heart attack did no better than patients on medical therapy (primarily drug treatment) alone.
LBBB (left bundle branch block) is related to the electrical impulses that have pathways (become blocked) through the heart walls that cause the heart to contract and relax. Guidelines for medical treatment of LVF in patients with LBBB, such as aspirin, beta-blockers and ACE inhibitors, and consideration of urgent reperfusion in LBBB patients with symptoms consistent with heart attck (chest pains).
Hello and hope you are doing well.
The exact management and prognosis for your mother’s situation can be advised only after a thorough medical evaluation. Ejection fraction is a measure of the pumping capacity of the heart and your mother has severe decrease which is below <25%. A low EF may be due to artery blockages, high blood pressure, myocarditis or a variety of other more rare conditions. The treatment for a low EF is usually with diuretics, beta-blockers and ACE inhibitors.
Hi. Heart failure, also known as congestive heart failure (CHF), means your husband’s heart cannot pump enough blood to meet his body’s needs. Over time, the organs soon fail, resulting to shortness of breath, fatigue and weakness, swelling of the legs, ankles and feet, persistent cough or wheezing with white or pink-blood tinged phlegm, swollen abdomen (ascites) and weight gain.
It has also been proven that putting an ICD (defibrillator) and/or pacemaker into patients with an EF of 35% or less with a wide QRS on EKG (which is reflective of damaged electrical conduction in the heart and is permanent after things like a heart attack) reduces mortality in patients with systolic heart failure compared to those who do not get those therapies. The physiology behind that is two fold: 1.
I'm sure you are very worried.
Let me try to help.............a bit.
First of all - I have experienced Pulmonary Edema on 2 serious occasions in '08. Both - life threatening..........the second - so life threatening that I experienced Respiratory Failure at my local hospital and had to be airlifted to the central hospital here in Maine. I was put in a coma and was not expected to live. I am a 58 y.o. male with an Ejection Fraction of 10-15% since '03.
A couple of years ago I went in for a "simple" hysterectomy and 6 days later I woke up in ICU, after having a four (4) unit blood transfusion and going home on oxygen. Something went wrong and I was bleeding and severe pain, 24 hours later they performend another surgery on me to close up the bleed, my blood count went down to two (2) from 14 when I went in. When I went home, I read my report from the surgeries I had and there it was "Congestive Heart Failure".
My husband is 67 yrs old, congestive heart failure, insulin dependent diabetes, kidney failure (stage 4 or 5), and his latest test results were BUN 93, Creatinine 14, and GFR 11. He recently had a minor heart attack and before doing an angiogram(which turned out fine except for two small blocked veins) the hospital put a port in his neck for possible dialysis.
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