Doctor insights on:
What Is The Difference Between Systolic And Diastolic Heart Failure And Congestive Heart Failure
Weak versus stiff: Congestive heart failure is a general term referring to when the heart is no longer available to pump blood effectively enough to support the needs of the body. Systolic failure is the more common situation where the heart pumps weakly, while diastolic failure refers to inability of the heart to relax and expand normally, as in the case of severe hypertrophy or muscular overgrowth. ...Read more
Heart failure is a complex set of conditions in which the heart "fails" to pump a normal amount of blood with each beat. This can be due to poor squeezing function (systolic heart failure) and/or a stiff heart incapable of filling normally (diastolic heart failure). Common symptoms include swelling and trouble breathing, particularly when ...Read more
Related: The heart has to squeeze effectively, but also has to be able to relax inbetween squeezing to allow adequate filling. If it can't relax that is considered diastolic heart failure. Congestive heart failure can be either systolic (the squeezing action) or diastolic (the relaxing function). Impairment of either one or both can lead to congestive heart failure. ...Read more
My 33 yr old son had a heart attack 10-15. He now has dx of chronic combined systolic and diastolic congestive heart failure. Ef of 40. How serious?
Heart failure: Heart failure caused by a prior myocardial infarction (heart attack) is a very serious problem. Fortunately there are well-defined treatments including medications and procedures. Patients with this condition should be under the care of a cardiologist. It may also help to get a second opinion here on HealthTap to review treatment options. ...Read more
Diastolic heart failure
I have been recently diagnosed with diastolic heart failure. What can I do to prolong my life? Can I slow the thickening?
Diastolic failure: In order to do the best you can with diastolic heart failure, you need to take your medicines as order, follow a low salt diet, and get exercise as tolerated by you. In contrast to systolic heart failure, we don't have drugs which have proven to prolong life for this type of failure. ...Read more
Could diastolic heart failure at 37yo be related to complete hysterectomy at 25yo w/subsequent hrt?
Not likely: There is no connection as hrt at age 25 was necessary for continued hormonal function. ...Read more
Depends: I assume you mean chronic diastolic heart failure with acute exacerbation.It's what happens in diastolic heart failure-subject to intermittent acute exacerbation. It is particularly sensitive to heart rate and fluid volume.sudden death is another consequence besides heart failure. Atrial fibrillation is common and therefore stroke risk. Others die from comoerbiditieswhich are frequent such as kidney ...Read more
Yes: Yes, echocardiography is ideal to diagnose diastolic heart failure. ...Read more
If left ejection fraction is maintained in diastolic heart failure, why is the cardiac output decreased?
Think stiffness: In diastolic dysfunction, the heart muscle tends to be stiff, so that it doesn't "relax" well and fill with blood. So even if the heart can pump blood forward OK, if it doesn't fill up appropriately, then it won't function optimally ... ...Read more
What are the symptoms and tests for diastolic heart failure? My EKG is irregular, echo seemed okay, I was told I have a sinus tach from a reg place.
Confused: Hello, again, undiagnosed1! Diastolic heart failure is present when heart failure is confirmed (by symptoms, chest x-ray, and sometimes b-natriuretic peptide measurement (bnp)) in the presence of normal systolic function (ejection fraction>55%). Sinus tach is a regular rhythm so if your ekg is irregular, you have something else or in addition to sinus tach. ...Read more
I've had breathlessness on exertion for years, but it's getting worse. Echo EF & BNP both normal. How is diastolic heart failure diagnosed/ruled out?
Nonsystolic HF: Nonsystolic heart failure or diastolic dysfunction means that the heart is operating inefficiently in the relaxation phase. This occurs because of damage to heart muscle by untreated hypertension, or from other causes. Exertional breathlessness has many other causes besides heart failure, & if you've had the heart checked already it may be time to look at lungs etc. A consult on HealthTap may help ...Read more
What are the causes of Diastolic Heart Failure? Can it be functional, or is it just structural? My neurologist did a tilt table test, said my heart contraction phase is longer than my relaxation phase. I never had heart pain, breathlessness, before a
Blocked arteries vs.: Coronary artery disease typically refers to atherosclerosis of the coronary arteries which supply blood to the heart muscle. Atherosclerosis blocks the coronary arteries. Congestive heart failure is heart disease that restricts the heart's ability to deliver oxygen to the body, typically with increased filling pressure of the heart (causing fluid backup, or congestion.). ...Read more
What is the difference between congestive heart failure and coronary artery disease or do you have both?
Different problems: Coronary artery disease is a narrowing of the small blood vessels that supply blood and oxygen to the heart. (http://1. Usa. Gov/lrisvf) congestive heart failure is a condition in which the heart can no longer pump enough blood to the rest of the body. (http://1. Usa. Gov/lrirha). ...Read more
There: what is the difference between congestive heart failure and coronary artery disease in a diabetic?
CHF: Is typically caused by a weakened heart muscle or one that "relaxes" poorly whereas CAD is caused by cholesterol plaques in coronary arteries. Frequently CAD is present with chf. Diabetics are at great risk for getting cad. ...Read more
Yes: Coronary artery disease means the arteries of the heart have partial or complete blockage. Congestive heart failure means the heart musle is weak and not pumping blood well enough and fluid back up into the lungs. Often patients with congestive heart failure have coronary artery disease, but not always. ...Read more
Disease vs symptom: Coronary artery disease is cholesterol build up in the coronary arteries. CHF is a symptom complex of shortness of breath. Unable to lay flat. Waking up short of breath and decrease exercize tolerence. It usually occurs when blood backs up in the lungs as a result of the heart not working efficiently. CHF is not a diagnosis as there are many causes and a source should be found. ...Read more
Probably; but treat.: It's probably best to treat heart failure before engaging in strenuous activities. While there's no direct evidence that masturbation is harmful, history has examples of cardiac events occurring during arousal. Heart failure, while incurable (ie, heart won't go back to way it was before without medications), is also treatable (medications DO restore some function). So get it treated 1st, then TTYD ...Read more
Just discovered I have grade 3 diastolic congestive heart failure.EF is normal How serious is that and is it progressive?
Quite serious. : It means your heart is stiff and does not relax. Although the heart still beats with good force but the heart does not relax so that it gets filled. That results some times in cardiac failure. ...Read more
It can happen: Unfortunately, sometimes young people also get affected by heart failure. Most often it relates to a viral infection that infects the heart muscle, called "myocarditis". This can lead to substantial heart failure in young patients, and is treated similarly to older patients with hf. However, sometimes the disease can get so bad that heart transplant needs to be considered. ...Read more
Yes : This can be related to periodontal disease. ...Read more
No perfect answer: Probably best to avoid combination medicines which contain pseudoephedrine, which many do. This speeds up your heart. Diphenhydramine (benedryl) can dry up secretions. However, it is important to understand that the cough may be due to the chf. Also, medications commonly used to treat CHF (ace inhibitors — often end with . Pril) can sometimes cause a chronic dry cough. Talk to your md. ...Read more
Atherosclerosis develops in our coronaries and can cause damage to heart.
Some other diseases damage heart as well!
Viral, rheumatic, infections etc
when enough muscle damage has happened, then heart failure, poor pumping, and congestion will occur- called CHF congestive heart failure. ...Read more
It can give clues: Heart failure is a complicated diagnosis to make and is usually based on history and physical exam findings. An ekg may give clues that point towards a diagnosis of heart failure but can not fully diagnose it. You may be confusing the term heart failure with heart disease. Ask you doctor about further specifics. ...Read more
Otherwise known simply as heart failure, is a condition in which the heart muscle is weakened. It may be receiving inadequate blood flow, its valves might be malfunctioning or the heart muscle might have thickened or stiffened. As a result, the heart, which is a pump, cannot supply the body with ...Read more
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