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A series of symptoms such as palpitations, palpitations, dyspnea, and edema of the lower limbs, especially when you are tired and cold, the symptoms are aggravated, you go up the stairs to carry heavy burdens, and you are prone to dyspnea.
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The diagnosis of heart failure is based on the medical history, signs, and some ancillary tests. Heart failure can be judged by symptoms such as pulmonary congestion, pulmonary edema, dyspnea, hepatomegaly, and edema of both lower limbs when the center fails.
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The diagnosis of heart failure is mainly carried out from the following aspects: 1. Typical clinical manifestations: patients may have palpitations, shortness of breath, wheezing, dyspnea and so on during activity.
2. Clinical signs: tachycardia, galloping rhythm and cardiac enlargement can be found during the physical examination, which can only be completed by a professional cardiologist.
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The main thing is to see whether the blood supply capacity of the heart is strong, if it is not strong, it may be heart failure.
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If you can't judge by yourself, you can go to the hospital for a systematic examination. it's
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There are three main indicators of the degree of heart failure, and the walking distance per unit time is a commonly used indicator in clinical practice to evaluate moderate and severe heart failure, also known as the 6-minute walking test, which can judge the degree of disease of the patient and the comparison effect. Under the same conditions, the more steps taken, the milder the degree of heart failure. According to a study, the academic committee meeting jointly formed by Gao Runlin, Zhang Boli, Professor Huang Jun, academicians of the Chinese Academy of Engineering and the heart failure group of the Cardiovascular Disease Branch of the Chinese Medical Association, and the evidence-based medical research on chronic heart failure conducted by 23 tertiary hospitals in the United Nations for 15 months showed that the chronic heart failure patients who received Qili Qiangxin Capsule ** (4 capsules each time, 3 times a day) had a 6-minute walking distance of 22 meters more than the control group patients who did not take Qili Qiangxin Capsule, indicating that the drug is effective for chronic heart failure** The effect is definite and can be used rationally under the guidance of a doctor.
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Judgment of the severity of heart failure:
First, according to the patient's clinical symptoms, it is the main indicator to judge the severity of heart failure. Heart failure is classified into 3 degrees according to severity:
Grade 1 means that the patient has no symptoms during general physical activity, and only more severe physical activity will cause symptoms of palpitation, chest tightness, and dyspnea.
Degree 2 is a slight physical activity, and symptoms of palpitations, fatigue, and dyspnea may occur.
Grade 3 is the patient's resting state, and the symptoms of dyspnea or fatigue may also occur. In severe cases, patients can only breathe and cannot lie flat.
Second, according to the indicators of the test, the main test is the brain natriuretic peptide in the blood. The severity of heart failure is judged according to the level of this value, and the higher the value, the more serious the heart failure will be. Heart failure, also known as heart failure, is a condition in which heart function is impaired after various structural heart diseases have progressed to an advanced stage.
The judgment of heart failure is mainly carried out from the following aspects:
First, clinical symptoms, after the appearance of heart failure, systemic or pulmonary congestion may occur leading to corresponding symptoms, including dyspnea caused by pulmonary congestion, lower extremity edema, ascites or pleural effusion caused by systemic congestion.
Second, laboratory tests, general laboratory tests for brain natriuretic peptide, if in the onset of heart failure, brain natriuretic peptide will be significantly elevated.
Third, electrocardiogram and cardiac ultrasound can be done to determine whether the patient has structural heart disease and what the ejection fraction of the heart is. Through the above examinations, the diagnosis of heart failure can be basically made.
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You can go to the hospital for examination, and judge the degree of heart failure according to the two sets of judgment methods and standards of left ventricular ejection fraction and heart failure markers, and under the guidance of a doctor**.
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Heart failure is a complex clinical syndrome, **complex, there is no unified classification, there is overlap between various types**, and many patients are often caused by a combination of multiple cardiovascular ** and non-cardiovascular factors. Respiratory infections are most common, and infective endocarditis is not uncommon. Atrial fibrillation is one of the most common arrhythmias in structural heart disease.
Heart failure can be predisposed by various types of tachyarrhythmias and severe bradyarrhythmias. Excessive salt intake, too much infusion, too fast, etc.
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The **) of heart failure includes the basics and the triggers.
Basically** is mainly myocardial damage and heart overload.
Triggers include infection, arrhythmias, and increased volume, such as too much fluid entering the body, rapid physical exertion, and emotional agitation.
Dilated cardiomyopathy is typically associated with myocardial injury, and hypertension and pulmonary hypertension can lead to overload of the heart.
In addition to improper medication, coronary heart disease, rheumatic heart disease, and hyperthyroid heart disease can also cause heart failure.
Overall, heart failure may be a terminal cardiac manifestation of many diseases.
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It may be a lack of oxygen, because if you live in a high-rise building, you will be hypoxic, which will be a serious problem.
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Heart failure is a complex clinical syndrome, which is a serious stage in the development of various clinical heart diseases, from the initial myocardial damage (such as myocardial infarction, viral myocarditis, hypertrophic obstructive cardiomyopathy, etc.), to the physiological and anatomical changes of the heart, and finally by affecting the systolic and diastolic function of the heart, resulting in a series of clinical manifestations such as dyspnea, chest tightness, fatigue, and edema of the lower limbs.
The New York College of Cardiology Cardiac Function Classification (NYHA) is a simple and widely accepted assessment of cardiac function. The specific grading criteria are as follows:
Class I: activity is not restricted, and daily physical activity does not cause excessive shortness of breath, fatigue, or palpitations.
Grade: mildly limited activity, asymptomatic at rest, and daily physical activity can cause shortness of breath, fatigue, or palpitations.
Grade: Significant restriction of activity, absence of normal activity at rest, and shortness of breath, fatigue, or palpitations below usual activity may also occur.
Grade: Symptoms are also present at rest, and any physical activity can cause discomfort.
Since the intensity of daily physical activity is less than the maximum amount of exercise, measuring submaximal exercise capacity will provide useful information, and the 6-minute walk test is a simple, easy, safe, and effective way to assess a patient's exercise tolerance. A 6-minute walk of less than 150 m is considered severe heart failure, 150 450 m is moderate heart failure, and more than 450 m is mild heart failure.
Correctly judging the severity of heart failure is helpful to choose the right method, and the main methods of heart failure include **, drug**, non-drug**, etc., and drug ** occupies an important position. At present, the best drugs for heart failure, diuretics, renin-angiotensin system inhibitors (ACE inhibitors, ARB, ARNI), receptor blockers, aldosterone receptor antagonists, etc., among them, ARNI is a new drug in the diagnosis and treatment guidelines of heart failure in China, which has the effect of ARB and neprilysin inhibitors, which can improve the symptoms and prognosis of patients with heart failure.
Timely action is also crucial, and timely measures are taken when heart failure is found, which can help delay the progression of heart failure to more severe levels.
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The main symptom of heart failure is the decrease in activity tolerance, some patients may wheezing after activity, or some patients may sit and wheezing when the disease is severe, and wheezing even if they are inactive, which is related to the severity of heart failure. The classification of cardiac function, some patients have light and heavy activities, and may have dyspnea and wheezing. Some patients may experience a decrease in activity after a little activity, or difficulty breathing and breathlessness.
In the most severe cases, patients may lie flat and develop wheezing. The main ones are decreased activity tolerance, breath-holding, chest tightness, and dyspnea.
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Typical symptoms of heart failure are dyspnea, awakening at night, edema of the legs, etc., but the disease is already severe when it appears, which is not conducive to early stage**. At present, traditional Chinese medicine is better, such as Musk Baoxin Pill has the effect of increasing myocardial blood supply, enhancing myocardial contractility, and reducing cardiac oxygen consumption.
What are the daily precautions for people with heart failure (HF)?
1) Maintain a regular routine;
2) Emphasize the combination of movement and static, and appropriate activity and exercise according to the heart function;
3) Keep the indoor temperature relatively constant, preferably around 20 degrees Celsius in winter;
4) Indoor ventilation, indoor ventilation at least twice a day in winter, half an hour each time, but pay attention to the patient's ability to keep himself warm and avoid colds caused by air convection;
5) prevention of respiratory tract infections;
6) Diet conditioning, usually food should choose high-quality protein rich in essential amino acids, such as milk, lean meat, freshwater fish, etc., do not overeat, should eat less and more often, especially do not overeat dinner, so as not to increase the burden on the heart;
7) Keep your stool smooth. Avoid excessive straining when constipated.
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It is best to see a doctor here, and there will be expert consultation for serious illnesses to arrange a reasonable diagnosis and treatment plan.
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