congestive heart failure

1. CONGESTIVE RIGHT
HEART FAILURE
 PARAS SUTHAR
 DAYANAND SWAMI
 GROUP NO. 24TH
 SEM. 10TH
 ISM (IUK)
 TO:-
 BEYSHEBAEVA N.

2. RSHF:-
 The right heart ventricle is responsible for pumping blood
to lungs to collect oxygen.
 Right-sided heart failure occurs when the right side of
heart can’t perform its job effectively. It’s usually
triggered by left-sided heart failure.
 The accumulation of blood in the lungs caused by left-
sided heart failure makes the right ventricle work harder.
 This can stress the right side of the heart and cause it to
fail. this is biventricular heart fail

3. . Right-sided heart failure can also occur as a
result of other conditions its called isolated
RSHF:-
 Left to right shunt:-
 1.Atrial septal defect and
 2.Ventricular septal defect
 Some other condition such as chronic lung
disease. chronic bronchitis and
emphysema, pulmonary hypertension, its called
core pulmonale

4. Clinical feature
 Systemic vein congestion:- 1st sign appears in RSHF is
jugular vein distension d/t blood cant drain in to the right
atrium

5. .
 Hepato-splenomegaly characterised by very pain full
 In liver prolong congetion its leads to cirrhosis and liver
failure which be called cardiac cirrhosis
 Portal HTN :- fluid go out of portal vein and its
accumamulate in peritoneal cavity known as ascites.

6. . Pedal edema or pitting edema bcoz blood cant goes to IVC more
blood accumulate in spheneous vein
 Also intestinal edema and facial puffiness.
 Edematous hands and fingers
 Polyuria at night
 Weight gain
 Increased BP (excess volume) OR
 Decreased BP (from failure)

7. Investigation
 History and Physical Examination
 Abnormal heart sounds, such as a murmur
 Abnormal lung sounds
 Ankle swelling
 Distended neck veins
 Enlarged liver
 Irregular or rapid heartbeat
 Weight gain

8. .
 Test
 Brain Natriuretic Peptide level (BNP).
 arterial blood gas
 LFTs
 Chest x-ray
 EKG
 Echocardiogram
 Cbc
 Cardiac catheterization
 Tft

9. Treatment
 Heart failure requires periodic monitoring by your health care provider. The goals of
treatment include controlling the symptoms, reducing the heart's workload, and
improving your heart's ability to function. Any underlying disorders and causes
should be treated, if possible.
 The most common therapy for right-sided heart failure is treating left-sided heart
failure.
 Valve replacements and procedures such as bypass surgery (CABG) and angioplasty
may help some people.
 LIFESTYLE
 Generally, you must reduce the salt in your food and the amount of liquids you
drink. You should also consider losing weight if you are overweight, stopping
smoking, and avoiding too much alcohol.

10. .
 MEDICATION
 Diuretics (water pills) can help reduce fluid accumulation. Furosemide, torsemide,
or bumetanide can help moderate to severe symptoms. Hydrochlorothiazide,
chlorthalidone, and chlorothiazide may be used for mild symptoms. Another drug,
spironolactone, can prevent salt retention and help patients with severe heart
failure.
 Medications that reduce your heart's workload include ACE inhibitors, ARBs, and
drugs such as hydralazine and long-acting nitrates. They can prolong the life of very
sick patients with failing hearts.
 Beta-blockers (such as metoprolol or carvedilol) can help prevent death in some
heart failure patients.
 Digitalis may be prescribed to increase the muscle contraction of the heart and
help prevent hospitalization.

11. .
 IMPLANTED DEVICES
 Some patients with ECG abnormalities may benefit from a a
biventricular pacemaker, which helps both ventricles contract at
the same time (CRT, cardiac resynchronization therapy). A
defibrillation device such as an implantable cardioverter-
defibrillator (ICD) helps some patients. CRT and ICD may be
combined and implanted in a single device (biventricular
pacemaker-ICD).
 TRANSPLANTS
 A patient with severe heart failure that does not respond to these
therapies may require a heart transplant.

12. Prevention
 Follow your health care provider's
recommendations for treating conditions
that may cause congestive heart failure.
Follow dietary guidelines -- in particular,
reduce salty foods and avoid adding salt to
meals -- stop smoking, and cut alcohol use.