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Systolic heart failure: chronic and acute syndromesKanu Chatterjee et al. Crit Care Med. 2008 Jan. AbstractSystolic heart failure is characterized by ventricular dilation and reduced ejection fraction, and this syndrome may be either chronic or acute. Left ventricular remodeling is the principal cause of progression of systolic heart failure. Acute heart failure resulting from cardiomyopathy has similar functional and morphologic abnormalities. This review discusses remodeling, initial therapy based on neurohormonal modulation, and treatment of decompensated and refractory heart failure. Diagnosis, prognosis, and management of acute myocarditis are also discussed. Similar articles
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OverviewHeart failure — sometimes known as congestive heart failure — occurs when the heart muscle doesn't pump blood as well as it should. When this happens, blood often backs up and fluid can build up in the lungs, causing shortness of breath. Certain heart conditions, such as narrowed arteries in the heart (coronary artery disease) or high blood pressure, gradually leave the heart too weak or stiff to fill and pump blood properly. Proper treatment can improve the signs and symptoms of heart failure and may help some people live longer. Lifestyle changes — such as losing weight, exercising, reducing salt (sodium) in your diet and managing stress — can improve your quality of life. However, heart failure can be life-threatening. People with heart failure may have severe symptoms, and some may need a heart transplant or a ventricular assist device (VAD). One way to prevent heart failure is to prevent and control conditions that can cause it, such as coronary artery disease, high blood pressure, diabetes and obesity. SymptomsHeart failure can be ongoing (chronic), or it may start suddenly (acute). Heart failure signs and symptoms may include:
When to see a doctorSee your doctor if you think you might be experiencing signs or symptoms of heart failure. Call 911 or emergency medical help if you have any of the following:
Although these signs and symptoms may be due to heart failure, there are many other possible causes, including other life-threatening heart and lung conditions. Don't try to diagnose yourself. Emergency room doctors will try to stabilize your condition and determine if your symptoms are due to heart failure or something else. If you have a diagnosis of heart failure and if any of the symptoms suddenly become worse or you develop a new sign or symptom, it may mean that existing heart failure is getting worse or not responding to treatment. This may also be the case if you gain 5 pounds (2.3 kilograms) or more within a few days. Contact your doctor promptly. Sign up for free, and receive heart transplant and heart failure content, plus expertise on heart health. To provide you with the most relevant and helpful information, and understand which information is beneficial, we may combine your
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e-mail. CausesHeart failure often develops after other conditions have damaged or weakened the heart. However, heart failure can also occur if the heart becomes too stiff. In heart failure, the main pumping chambers of the heart (the ventricles) may become stiff and not fill properly between beats. In some people, the heart muscle may become damaged and weakened. The ventricles may stretch to the point that the heart can't pump enough blood through the body. Over time, the heart can no longer keep up with the typical demands placed on it to pump blood to the rest of the body. Your doctor can determine how well your heart is pumping by measuring how much blood is pumped out with each beat (ejection fraction). Ejection fraction is used to help classify heart failure and guide treatment. In a healthy heart, the ejection fraction is 50% or higher — meaning that more than half of the blood that fills the ventricle is pumped out with each beat. But heart failure can occur even with a normal ejection fraction. This happens if the heart muscle becomes stiff from conditions such as high blood pressure. Heart failure can involve the left side (left ventricle), right side (right ventricle) or both sides of your heart. Generally, heart failure begins with the left side, specifically the left ventricle — your heart's main pumping chamber.
Any of the following conditions can damage or weaken your heart and can cause heart failure. Some of these can be present without your knowing it:
Causes of sudden (acute) heart failure also include:
Risk factorsA single risk factor may be enough to cause heart failure, but a combination of factors also increases your risk. Risk factors for heart failure include:
ComplicationsComplications of heart failure depend on the severity of heart disease, your overall health and other factors such as your age. Possible complications can include:
PreventionThe key to preventing heart failure is to reduce your risk factors. You can control or eliminate many of the risk factors for heart disease by making healthy lifestyle changes and by taking the medications prescribed by your doctor. Lifestyle changes you can make to help prevent heart failure include:
Dec. 10, 2021 What is the life expectancy of someone with systolic heart failure?One study says that people with heart failure have a life span 10 years shorter than those who don't have heart failure. Another study showed that the survival rates of people with chronic heart failure were 80% to 90% for one year, but that dropped to 50% to 60% for year five and down to 30% for 10 years.
What causes chronic systolic congestive heart failure?Causes of Systolic Heart Failure
Arrhythmia, an irregular heart rhythm. Cardiomyopathy, any condition affecting the heart muscle. Coronary artery disease, narrowing of the blood vessels that bring blood to the heart. Heart attack, which occurs when the heart doesn't get enough blood.
What is the treatment for systolic heart failure?Common medicines for systolic heart failure are: Diuretics (water pills), which help ease swelling. ACE inhibitors, ARB, or ARNI to widen blood vessels and lower blood pressure, making it easier for your heart to work. Beta-blockers to help slow heart rate and lower blood pressure.
What is the difference between congestive heart failure and chronic heart failure?Chronic heart failure, otherwise known as congestive heart failure or heart failure, is an ongoing inability of the heart to pump enough blood through the body to ensure a sufficient supply of oxygen.
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