hear failure slide show
TRANSCRIPT
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these symptoms are the result of fluid
buildup in your body.
starting, you may feel tired and short ofbreath after routine physical effort, like
climbing stairs.
As your heart grows weaker, symptoms
get worse.
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Fluid buildup from heart failure alsocauses weight gain, frequent urination,and a cough
The cough get worse at night or lyingdown.
This cough may be a sign of acute
pulmonary edema. condition in which too much fluid builds up
in your lungs.
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Acute pulmonary edema requires
emergency treatment.
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DIAGNOSIS OF HEART FAILURE
Heart failure based on your medical and
family histories, a physical exam, and the
results of tests. Find out whether you have a disease or
condition that can cause heart failure,
such as coronary heart disease (CHD),
high blood pressure, ordiabetes .
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Rule out other causes of your symptoms
Find any damage to your heart and checkhow well your heart pumps blood.
Early diagnosis and treatment can helppeople who have heart failure live longer,
more active lives.
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Medical and Family Histories
Your doctor will ask whether you or others in
your family have or have had a disease or
condition that can cause heart failure.
Your doctor want to know which signs and
symptoms you have, when they occur, how long
you've had them, and how severe they are.Y
ouranswers will help show whether your symptoms
limit your daily routine, and, if so, how much
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Physical Exam
During the physical exam, doctor will:
Listen to your heart for sounds that aren'tnormal .
Listen to your lungs for the sounds of extra
fluid buildup . Look for swelling in your ankles, feet, legs,
abdomen, and the veins in your neck .
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Diagnostic Tests
No single test can diagnose heart failure. If
you have signs and symptoms of heartfailure, your doctor may recommend one
or more of the following tests.
Also may refer you to a cardiologist.
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EKG (Electrocardiogram)
An EKG is a simple, painless test thatdetects and records the hearts electricalactivity.
The test shows how fast the heart isbeating and its rhythm (steady orirregular).
EKG may show whether the walls in yourheart's pumping chambers are thicker thannormal.
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EKG also can show signs of a previous or
current heart attack.
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Chest X Ray
Achest x ray takes pictures of the organs
and structures inside your chest, such as
your heart, lungs, and blood vessels.
Also test can show whether your heart is
enlarged, have fluid in your lungs, or
whether have lung disease.
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BNPBlood Test
This test checks the level of a hormone in
your blood called BNP. The level of this
hormone rises during heart failure.
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Echocardiography
Uses sound waves to create a moving picture
of your heart.
The test provides information about the size
and shape of your heart.
How well your heart chambers and valves are
working.
Can identify areas of poor blood flow to the
heart.
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Areas of heart muscle that aren't
contracting normally, and previous injury
to the heart muscle caused by lack of
blood flow.
Echo may be done before and after a
stress test
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DopplerUltrasound
ADoppler ultrasound uses sound waves to
measure the speed and direction of blood flow.
Test often is done with echo to give a more
complete picture of blood flow to the heart and
lungs.
Doppler ultrasound often is used to find outwhether you have right-side heart failure (this is
when the heart can't fill with enough blood).
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HolterMonitor
Records your hearts electrical activity for
a full 24- or 48-hour period.
You wear small patches called electrodeson your chest that are connected by wires
to a small.
Can be clipped to a belt, kept in a pocket,
or hung around your neck.
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Nuclear Heart Scan
Shows how well blood is flowing through
your heart and how much blood is
reaching your heart muscle.
During a nuclear heart scan, a safe,
radioactive substance called a tracer is
injected into your bloodstream through a
vein.
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Tracer travels to your heart and releases
energy
Nuclear heart scan can show where theheart muscle is healthy and where its
damaged.
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Cardiac Catheterization
During cardiac catheterization (KATH-e-
ter-i-ZA-shun), a long, thin, flexible tube
called a catheter is put into a blood vessel
in your arm, groin (upper thigh), or neck
and threaded to your heart.
This allows your doctor to look inside your
coronary (heart) arteries.
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During this procedure, your doctor can
check the pressure and blood flow in your
heart chambers, collect blood samples,
and use x rays to look at your coronary
arteries.
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Coronary Angiography
Usually is done with cardiac
catheterization.
A dye that can be seen on x ray is injected
into your bloodstream through the tip of
the catheter .
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The dye allows your doctor to see the flow
of blood to your heart muscle.
Angiography also shows how well yourheart is pumping.
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Stress Test
During stress testing, you exercise (or are
given medicine if you can't exercise) to
make your heart work hard and beat fast.
You may walk or run on a treadmill or
pedal a bicycle.
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Cardiac MRI
Magnetic resonance imaging) uses radio
waves, magnets, and a computer to create
pictures of your heart as its beating.
The test produces both still and moving
pictures of your heart and major blood
vessels.
A cardiac MRI can show whether parts of
your heart are damaged.
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Thyroid Function Tests
Thyroid function tests show how well yourthyroid gland is working.
These tests include blood tests, imagingtests, and tests to stimulate the thyroid.
Having too much or too little thyroidhormone in the blood can lead to heartfailure.
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