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Doctor insights on: When Do You Use Dobutamine When Treating Congestive Cardiac Failure

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When do you use dobutamine when treating congestive cardiac failure?

When do you use dobutamine when treating congestive cardiac failure?

When usual efforts: Fail. Once diuretics and usual efforts fail, then pressure like Dobutamine are used. Typically this is done in ICU or ccu. ...Read more

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Cardiac (Definition)

Cardiac translates literally to "heart, " and any place the term is seen, such ...Read more


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When should we choose dopamine over dobutamine in treating congestive cardiac failure?

When should we choose dopamine over dobutamine in treating congestive cardiac failure?

Sometimes use both: Dopamine has more affect on blood pressure (raises it). Dobutamine increases heart (myocardial) contractility so it makes the heart muscle beat stronger and subsequently increases cardiac output. They are often used together for people with heart failure and low bp. ...Read more

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If endstage congestive heart failure, do they have hypotension or hypertension?

If endstage congestive heart failure, do they have hypotension or hypertension?

Usually hypotension: Most end stage heart failure patients have low blood pressure (hypotension), although if the blood vessels are hardened they can have normal or high blood presssure. ...Read more

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Why do paramedics use defibrillators with a heart attack patient?

Why do paramedics use defibrillators with a heart attack patient?

Fibrillation : Some patients who suffer a heart attack develop deadly heart rhythms called ventricular tachycardia or fibrillation. The heart does not contract properly under these conditions and without external defibrillation to shock the heart back into normal the patient would die. ...Read more

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Can you tell me in congestive heart failure,the weakened heart is unable to pump with?

Can you tell me in congestive heart failure,the weakened heart is unable to pump with?

Yes: A weakened heart is unable to pump the appropriate output for the body's need .As a result pressure builds up inside and is transmitted back to the lungs.The elevated pressure causes a shift of fluid from the blood vessels to the lung tissue causing shortness of breath. The body reacts further by releasing hormones and restricting the kidneys that even promotes fluid retention. ...Read more

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What to do if I have high heart rate, congestive heart failure?

Heart rate: You need to be seen to determine why do you have fast heart rate. Uncontrolled heart rate can tip you to heart failure exacerbation. Make sure you go to your physician for an ekg. ...Read more

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Can someone do sports with congestive heart failure?

Can someone do sports with congestive heart failure?

Supervision : Congestive heart failure has varying degrees of severity and exercise should never be performed if causing symptoms. However everyone regardless of chronic conditions with few exceptions should be physically active. In your case in consultation with your cardiologist and under the supervision of a cardiac rehab program you should be physically active to promote cardiac health and function. ...Read more

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What can you do to prevent congestive heart failure?

What can you do to prevent congestive heart failure?

Sometimes can't: Some factors that we know include coronary artery disease, viruses, genetic disorder, pregnancy, alcohol, endocrine abnormalities (thyroid in particular), and many others. To prevent decompensation of the chf, the biggest factor is salt. Salt causes fluid retention, which the weakened or stiff heart muscle can not work with. Diuretics, blood pressure control, habitual exercise, healthy wt. Help. ...Read more

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What medications helped you if you suffer from CHF congestive heart failure and diabetes?

What medications helped you if you suffer from CHF congestive heart failure and diabetes?

ACE/ARB: Ace inhibitors and arb agents most helpful for weak heart muscle and renal protection in diabetics as well as cardiac remodeling .This is in addition to beta blockers and diurtics. ...Read more

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Does CHF mean something to do with heart failure?

CHF: CHF is an abbreviation for congestive heart failure. This is a syndrome of symptoms and findings associated with the heart being too weak or too stiff. ...Read more

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What do hypertension and congestive heart failure have to do with each other?

What do hypertension and congestive heart failure have to do with each other?

A causes b: Hypertension is a leading cause of CHF but not the opposite. People with CHF may have high blood pressure, normal blood pressure, or low bp. The waters are muddied by the fact that nearly all meds used to treat CHF incidentally lower BP as well. ...Read more

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What exactly does hypertension and congestive heart failure have to do with each other?

What exactly does hypertension and congestive heart failure have to do with each other?

CHF: Depending on the cause it can be low or high. Weak heart CHF usually has low blood pressure. Strong heart CHF or hefpef can have high blood pressure. The abbreviation stands for heart failure preserved ejection fraction. About half of CHF is each type. ...Read more

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Do you fight to breathe? Is right heart failure cureable?

Do you fight to breathe? Is right heart failure cureable?

Right heart failure: It is usually related to a serious medical problem. It never occurs out of the clear blue but there are many causes. Some are surgically curable and some can be helped medically. Find out the cause from your physician and ask him. ...Read more

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When a patient has a heart attachk when do you know to use thrombolytic agents or anticoagulants ?

When a patient has a heart attachk when do you know to use  thrombolytic agents or anticoagulants ?

Not used much any mo: Now a days unless in a very rural location without angioplasty capabilities, thrombolyics are rarely used. Pts are usually give oral antiplts and IV blood thinners and taken imediately to the cath lab. The earlier the better. Target door to balloon time of 90 min or less. ...Read more

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What's congestive heart failure, and why do they call it congested?

What's congestive heart failure, and why do they call it congested?

CHF: Treatment depends on what the cause of the CHF is. Could be surgical, could be medical. Systolic CHF is different from diastolic CHF and valvar stenosis CHF is different from valvar insufficiency chf. Virtually all kinds have diuretic as part of the treatment. ...Read more

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Does heart failure always happen after a heart attack? What are the symptoms of heart failure and does heart attacks always lead to heart failure?

Does heart failure always happen after a heart attack? What are the symptoms of heart failure and does heart attacks always lead to heart failure?

Heart : Heart failure can cause shortness of breath, which may worsen with activity or when lying down or sleeping. Heart failure can also cause chest pain, fatigue, exercise intolerance, swelling of the legs, abdominal fullness, loss of appetite, weight gain, or heart palpitations. The symptoms are related to water retention and decreased ability for the heart to maintain adequate blood flow to the body's vital organs. Heart attacks are the most common cause of heart failure, but they do not always lead to heart failure. In the modern era, there are several ways to treat heart attacks which minimize the risk of developing heart failure later. If you have had a heart attack, it is crucial to improve your risk factors to help prevent more heart attacks or the development of heart failure. This means eating healthy, exercising, not smoking tobacco, and controlling your blood pressure and cholesterol. ...Read more

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How do you cure congestive heart failure?

How do you cure congestive heart failure?

Cure is wrong word: as CHF can be controlled and compensated. Very few are "cured" if you remove the reason for the heart failure (and the patient gets "lucky") as in alcohol induced cardiomyopathy or ischemia or post partum cardiomyopathy and a few with viral etiology. Most important: CHF can be prevented by treating early the disease conducing to it (like hypertension, heart attacks, diabetes, smoking, etc) ...Read more

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Why do people with congestive heart failure become cachectic?

Why do people with congestive heart failure become cachectic?

Multiple reasons: Cachexia is seen in more advanced and late stage heart failure and is related to neuro-endocrine, inflammatory, and metabolic changes associated with this disease. Congestion of the gut can result in poor appetite ; poor absorption. Also metabolism may be impaired due to liver congestion. Tumor necrosis factor, also called cachexin, contributes to this process as well. ...Read more

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Dr. Elazer Edelman
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