Congestive Heart Failure, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
By Kenneth Kee
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About this ebook
Heart failure happens when the heart muscle cannot push or eject the blood out of the heart
This is termed systolic heart failure.
The heart muscles are stiff and can not fill up with blood readily.
This is termed diastolic heart failure.
When the heart's pumping becomes less effective, blood may accumulate in other parts of the body.
Fluid may collect in the lungs, liver, gastrointestinal tract, and the arms and legs.
This is termed congestive heart failure.
Causes of Congestive Heart failure are:
1. Coronary artery disease (CAD)
2. Cardiomyopathy
3. Congenital heart disease
4. High blood pressure
5. Heart valve disease
6. Infection that weakens the heart muscle and its pumping action
7. Abnormal heart rhythms
Diagnosis is by :
a. Fast or difficult breathing
b. Leg swelling (edema)
c. Neck veins that are distended
d. Sounds (crepitations) from fluid buildup in your lungs, heard through a stethoscope
e. Swelling of the liver or abdomen
f. Uneven or fast heartbeat and abnormal heart sounds
An echocardiogram (ultrasound) is the best test to diagnose, determine the cause of, and monitor the heart failure because it can check on the blood flow through the heart.
The purposes of heart treatment are to:
1. Relieve symptoms and improve quality of life
2. Slow disease progression
3. Reduce the need for emergency room visits and hospitalization
4. Help people live longer
Treatment methods are dependent on the form, cause, symptoms and category of the heart failure.
Normally more than one treatment is given.
Get sufficient rest
Take a heart-healthy diet that is low in sodium and fat
Do not smoke and drink
The forms of medicine given are:
1. Angiotensive converting enzyme (ACE) inhibitors, which dilate, or widen, the arteries, increasing blood flow and making it so that the heart does not have to pump as hard.
2. Beta-blockers reduce blood pressure and decrease and block the effect of harmful hormones that can induce disease progression.
3. Diuretics or water pills help the kidneys produce more urine and excrete the body of excess fluid which can over load the heart.
4. Spironolactone is a diuretic that preserves potassium and has been found to reduce hospitalization and prolong life when given to treat advanced heart failure.
5. Potassium and magnesium supplements are often given with diuretics to replace these minerals, which are passed out in urine.
6. Digoxin makes the heart beat stronger and slower, and controls the rhythm of its contractions.
8. Anti-arrhythmic drugs can treat abnormal heart rhythms
Surgical methods to treat underlying causes of heart failure are:
1. Coronary artery bypass graft (CABG) or angioplasty to treat and prevent heart failure caused by blocked arteries.
2. Angioplasty
3. Implantation of pacemakers
4. Heart Transplantation as last resort
TABLE OF CONTENT
Introduction
Chapter 1 Congestive Heart failure
Chapter 2 Causes
Chapter 3 Symptoms
Chapter 4 Diagnosis
Chapter 5 Treatment
Chapter 6 Prognosis
Chapter 7 Coronary Heart Disease
Chapter 8 Hypertension
Epilogue
Kenneth Kee
Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"
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