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1、会计学1全英文心衰全英文心衰LesspumpingpowerSlower flow rateof bloodHigher pressure of chamber The heart cant provide body enough blood第1页/共17页Coronary arterydiseaseWhat causes What causes heart failureheart failureCoronaryarterydiseaseHeart attackCardio-myopathyOver-burdened第2页/共17页Cardiac hypertrophyCompliance

2、decrease Compensa-Compensa-tion tion reactionreactionFrank-Starling mechanismCompensatory mechanism of NeurohumorCompensation reaction第3页/共17页Systolic dysfunctionWhen the heart muscle doesnt contract with enough force, there is less oxygen-rich blood that is pumped throughout the bodyDiastolic dysfu

3、nctionThe 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.第4页/共17页Stage AAt high risk for HF but without structural heart disease or symptoms of HFStage BSt

4、ructural heart disease but without signs or symptoms of HF Stage CStructural heart disease with prior or current symptoms of HF Stage DRefractory HF requiring specialized interven-tions第5页/共17页Stages of Heart Stages of Heart FailureFailure Class INo limitation during ordinary activity Class II Sligh

5、t limitation by shortness of breath fatigue during moderate exertion or stress Class IIISymptoms with minimal exertion that interfere with normal daily activityClass IVInability to carry out any physical activity第6页/共17页 SymptomsSymptomsSymtomsCongested lungsFluid and water retentionDizziness fatigu

6、e weaknessRapid or irregular heartbeats第7页/共17页DiagnosisMedical Medical historyhistorySymptomsPhysical examsAssistant Assistant examina-examina-tiontionHeart failure第8页/共17页 Diabetes kidney disease anginahigh blood pressure heart problemsSmoke Drink alcohol and how much you drinkmedicationsMedical h

7、istory第9页/共17页AssitantAssitantExaminationsExaminationsBlood testsBNPChest X-rayEchocardiogramEFEKGStress testCardiac catheterizationcoronary angiogramCardiac MRIAssistant Examinations第10页/共17页第11页/共17页第12页/共17页Add Your TextGood life stylereasonable dietary habitMedicationsSurgical proceduresTo prevent your heart failure from worsening第13页/共17页Medication第14页/共17页添加标题 Heart trans-plantBypass surgeryHeart valve surgeryLeft ventricular assist deviceInfarct exclus

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