心衰英文版专题讲座.ppt

单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,文档仅供参考，不能作为科学依据，请勿模仿；如有不当之处，请联系网站或本人删除。,What Is Heart Failure?,Less,pumping,power,Slower flow rate,of blood,Higher,pressure,of chamber,The heart cant provide body enough blood,Causes,Coronary,artery,disease,What causes heart failure,Coronary,artery,disease,Heart attack,Cardio-myopathy,Over-burdened,Cardiac hypertrophy,Compliance decrease,Compensa-tion,reaction,Frank-Starling mechanism,Compensatory,mechanism,of Neurohumor,Compensation reaction,Types Of Heart Failure,Systolic dysfunction,When,the heart muscle doesnt contract with enough force,there is less oxygen-rich blood that is pumped throughout the body,Diastolic dysfunction,T,he heart contracts normally,but the ventricle-the main pumping chamber-does not relax properly,reducing the amount of blood that can enter the heart and raising blood pressure in the lungs.,AHA/ACC Guidelines,Stage A,At high risk for HF but without structural heart disease or symptoms of HF,Stage B,Structural heart disease but without signs or symptoms of HF,Stage C,Structural heart disease with prior or current symptoms of HF,Stage D,Refractory HF requiring specialized interven,-,tions,Stages of Heart Failure,Class I,No limitation during ordinary activity,Class II,Slight limitation by shortness of breath fatigue during moderate exertion or stress,Class III,Symptoms with minimal exertion that interfere with normal daily activity,Class IV,Inability to carry out any,physical activity,Symptoms,Symtoms,Congested lungs,Fluid and water retention,Dizziness fatigue,weakness,Rapid or irregular heartbeats,Diagnosis,Diagnosis,M,edical history,Symptoms,Physical exams,Assistant examina-tion,Heart failure,D,iabetes,kidney disease,angina,high blood pressure,heart problems,Smoke,D,rink alcohol and how much you drink,medications,Medical history,Assitant,Examinations,Blood tests,BNP,Chest X-ray,Echocardiogram,EF,EKG,Stress test,Cardiac catheterization,coronary angiogram,Cardiac MRI,Assistant Examinations,BNP,BNP is a substance secreted from the heart in response to changes in pressure that occur when heart failure develops and worsens.The level of BNP in the blood increases when heart failure symptoms worsen,and decreases when the heart failure condition is stable.The BNP level in a person with heart failure-even someone whose condition is stable-is higher than in a person with normal heart function.,EF,A normal EF is generally between 55%and 75%,which means that over half of the blood volume is pumped out of the heart with each beat.Heart failure may occur as the result of a low EF(called systolic heart failure),or from another cause,such as a valve disorder or from diastolic dysfunction.People with diastolic dysfunction can have a normal EF.,Treatment,Add Your Text,Good life style,reasonable dietary habit,Medications,Surgical procedures,To prevent your heart failure from worsening,Common types of drugs used to treat heart failure include:,Angiotensin converting enzyme(ACE)inhibitors,Angiotensin II receptor blockers(ARBs),Beta-blockers,Digoxin,Diuretics,Blood vessel dilators,Potassium or magnesium,Aldactone Inhibitors,Calcium channel blockers,Heart pump medication,Medication,Surgical Procedures,添加标题,Heart trans-plant,Bypass surgery,Heart valve surgery,Left ventricular,assist device,Infarct exclusion surgery,Surgery is aimed at stopping further damage to the heart and improving the hearts function,