全英文心衰讲解培训课件.ppt

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1、本文档所提供的信息仅供参考之用,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?LesspumpingpowerSlower flow rateof bloodHigher pressure of chamber The heart cant provide body enough blood本文档所提供的信息仅供参考之用,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。CausesCoronary arterydiseaseWhat causes What causes heart failureheart fail

2、ureCoronaryarterydiseaseHeart attackCardio-myopathyOver-burdened本文档所提供的信息仅供参考之用,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。Cardiac hypertrophyCompliance decrease Compensa-Compensa-tion tion reactionreactionFrank-Starling mechanismCompensatory mechanism of NeurohumorCompensation reaction本文档所提供的信息仅供参考之用,不能作为科学依据

3、,请勿模仿;如有不当之处,请联系网站或本人删除。Types Of Heart FailureTypes Of Heart FailureSystolic dysfunctionWhen the heart muscle doesnt contract with enough force,there is less oxygen-rich blood that is pumped throughout the bodyDiastolic dysfunctionThe heart contracts normally,but the ventricle-the main pumping chamb

4、er-does not relax properly,reducing the amount of blood that can enter the heart and raising blood pressure in the lungs.本文档所提供的信息仅供参考之用,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。AHA/ACC GuidelinesAHA/ACC Guidelines Stage AAt high risk for HF but without structural heart disease or symptoms of HFStage BStruct

5、ural 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本文档所提供的信息仅供参考之用,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。Stages of Heart FailureStages of Heart Failure Class INo limitation dur

6、ing ordinary activity Class II Slight 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本文档所提供的信息仅供参考之用,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。Symp

7、tomsSymptomsSymtomsCongested lungsFluid and water retentionDizziness fatigue weaknessRapid or irregular heartbeats本文档所提供的信息仅供参考之用,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。DiagnosisDiagnosisDiagnosisMMedical edical historyhistorySymptomsPhysical examsAssistant Assistant examina-examina-tiontionHeart failure本文

8、档所提供的信息仅供参考之用,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。Diabetes kidney disease anginahigh blood pressure heart problemsSmoke Drink alcohol and how much you drinkmedicationsMedical history本文档所提供的信息仅供参考之用,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。AssitantAssitantExaminationsExaminationsBlood testsBNPChest X-rayEchocardi

9、ogramEFEKGStress testCardiac catheterizationcoronary angiogramCardiac MRIAssistant Examinations本文档所提供的信息仅供参考之用,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。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

10、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.本文档所提供的信息仅供参考之用,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。EF A n

11、ormal 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

12、diastolic dysfunction can have a normal EF.本文档所提供的信息仅供参考之用,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。TreatmentAdd Your TextGood life stylereasonable dietary habitMedicationsSurgical proceduresTo prevent your heart failure from worsening本文档所提供的信息仅供参考之用,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。Common types of drugs used

13、 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 medicationMedication本文档所提供的信息仅供参考之用,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。Surgical Procedures添加标题 Heart trans-plantBypass surgeryHeart valve surgeryLeft ventricular assist deviceInfarct exclusion surgerySurgery is aimed at stopping further damage to the heart and improving the hearts function本文档所提供的信息仅供参考之用,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。

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