Congestive Heart Failure (CHF) Explained – MADE EASY

Congestive Heart Failure (CHF) Explained – MADE EASY


what is heart failure? Heart failures means that the heart pumping power is weaker than normal. In heart failure bloods moves through the heart at a slower rate, and the pressure in the heart increases therefore, the heart become congested. As the result, the heart cannot pump enough oxygen to meet the body’s demand. We can divide the heart failure into the left side heart failure, which includes the ‘Left Atrium’ and the ‘Left Ventricle’. Or the right side of heart failure, which includes the ‘Right Atrium’ and the ‘Right Ventricle’. Now heart failure can be either due to systolic dysfunction, which is the inability of the heart to contract and push out the blood Or diastolic dysfunction, which is the inability of the heart to relax. So here is some of the risk factors for congestive heart failure; CAD, in which the major blood vessels that supply the heart muscles with blood and oxygen become narrowed or diseased leading to damage to the heart muscles. Myocardial infarction or heart attack which is the death of the heart muscles due to an ischemic event. Cigarette smoking, Hypertension, which leads to left ventricle hypertrophy which makes it harder to oxygenate the heart muscles. and can eventually lead to ischemic damage to the heart muscles. Obesity and diabetes, which can both lead to CAD. Heart valve disease such as aortic stenosis which can eventually lead to left ventricle hypertrophy and ischemic changes similar to hypertension. Cardiomyopathy, which is another name for heart muscle disease for example; dilated cardiomyopathy in which heart’s ability to pump blood is decreased because the heart’s main pumping chamber the left ventricle is enlarged and it’s associated with alcohol and viral infection. Hypertrophic cardiomyopathy, which is associated with thickening of the heart muscle most commonly at the septum between the right and the left ventricle. Restrictive cardiomyopathy, which is the condition in which the walls of the heart are abnormally rigid and lack flexibility to expand as the ventricle fills with blood and it’s associated with, amyloidosis and sarcoidosis and fibrosis. Even though both the left and the right sided heart failure pretty much have the same clinical features The left sided heart failure present with symptom associated with pulmonary edema which is due to the failure of left ventricle to sufficiently remove blood from the pulmonary circulation. This leads to fluid accumulation in the lungs and the clinical features such as dyspnea or shortness of breath, paroxysmal nocturnal dyspnea, which is the sudden worsening of dyspnea at night during sleep and orthopnea, which is shortness of breath that occurs when lying flat and improves when sitting up or standing. And also, Since the heart is not pumping out enough blood there is going to be decreased forward perfusion. This leads to activation of Renin-Angiotensin-Aldosterone System which causes fluid retention and worsens the symptoms of congestive heart failure. The most common cause of right sided heart failure is actually the left sided heart failure. and the common clinical features include; dyspnea, since the right heat is unable to pump blood into the lungs to get oxygenated. Jugular venous distention, since the jugular veins cannot empty their blood into the congested right atrium. pitting edema, which is due to fluid overload and increased hydrostatic pressure ascites, which is due to fluid accumulation in the peritoneal cavity. Nutmeg liver, which is due to chronic passive congestion of the liver and as you can see here it resembles a cut nutmeg. In order to diagnose congestive heart failure we can use echocardiogram which distinguishes systolic from diastolic dysfunction by measuring the ejection fraction. It can also determine if an acute myocardial ischemia is causing heart failure by showing abnormal wall motions as well as identifying any valve diseases. We can also measure B-type Natriuretic Peptide or BNP which are secreted by the ventricles of the heart in response to excessive stretching of the heart muscle cells. and it can be also be used to differentiate between causes of dyspnea due to heart failure from other causes of dyspnea. We can also use chest x-rays which can show us cardiomegaly which is enlargement of the heart. EKG can be also used to identify any arrhythmias ischemic heart diseases, right and left ventricular hypertrophy and conductive delay or abnormalities such as left bundle branch block (LBBB). In order to properly treat congestive heart failure we must first focus on modifying patient’s lifestyle by encouraging the patient to lose weight, stop smoking, exercising, limiting their alcohol intake and having a healthier diet which are all equally effective in preventing diastolic and systolic heart failure. The pharmacological management for systolic dysfunction heart failure includes; ACE inhibitors, and/or Angiotensin Receptor Blockers Beta-blockers, spironolactone, diuretics, and if nothing else works we can give them digoxin. Medical therapies for diastolic dysfunction heart failure are not as well defined as therapies for systolic heart failure. Some of the medications that are used include; Beta-blockers, calcium channel blockers, ACE inhibitors, and diuretics.

100 Replies to “Congestive Heart Failure (CHF) Explained – MADE EASY”

  1. Those lifestyle changes are not equally effective in preventing heart failure/progression of heart failure. But nice video. Liked it.

  2. good day mam i am ceejay and i have chf or congestive heart failure i was discovered last day saturday i was fell all syntoms a few months,is it a complication of diabetes? because i am a type 1 diabetes i just want to ask if its delicate for me? i need your respond for this situation what should i do to help my self to treat this kind of heart failure thank you

  3. I have to go get an ultra sound on my heart to see if I have congestive heart failure I'm 30 I'm young I need to exercise more and lay off the salt.

  4. This video was great! Only thing that would have made it better is explaining how all the drugs effect the Systolic and diastolic dysfunction of heart failure.

  5. Is there anything else that can detect arrhythmias? Because EKGS are worthless in office visits. The only time they have been helpful in detection of my arrhythmia's was a Firestation EMT. If people are worried about the cost how effective are EKG'S? I can not tell you how many worthless EKG'S I have had. Stress test's and echo cardiograms are the way to go.

  6. Could you please tell me, patient male of 77 years old, diagnosed with heart failure and ejection fraction 30%, whats would be a realistic life expectancy?

  7. I had heart failure and i was not able to get all the information i wanted and this short video has clarified lots of things .
    i was on water pills for six months 80 mg and now i am taking only 5 mg and whenever i ask my cardiologist i did not get enough information but now i know which tests i have to request my cardiologist.

  8. im not a student so these medical terms are forign language to me. im a good example of a future patient being treated early for some of these symptoms so explaining some of the medical terms would be perfect as i could obtain my goal in researching this without being more confused than i am now compared to before the video

  9. "Thank you and good luck"… Right. How to translate all of the medical terminology into straight forward Anglo-Saxon English that most patients can have a reasonable chance to understand without first resorting to medical dictionary?

  10. You are only suppose to consume about 5 cups a water a day. Women are only suppose to consume about 1200 cals a day Males 1800 cals a day. The body is only meant for walking and stretching as the standard form of exercise. For ex if you only consume 1200 if you just walk throughout the day you will burn it off.

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  12. So I was diagnosed with CHF at the age of 32. It was found that I was born with an enlarged heart. The size of a 6 month old baby at 1 day old. I'm researching like crazy to find out how to cure it without the need for surgery. The docs have me taking Bumetanide 2mg which makes me urinate like crazy but I have problems with the limited fluid intake I'm suppose to be on. I found that there is a machine that can safely remove salt and access fluid from the body. I saw that a woman lost 30 Ibs of fluid in 2 days. I try going to the gym and taking my meds but the weight just fluctuates constantly. Under hospital care I lost almost 30 in 5 days but on my own the weight comes and goes. There has to be a way to cure it. If anyone out there knows of another direction I should take, please let me know.

  13. how do you explain CHF to a child? my grandsons keep asking me why I have to take medicine for my heart. I want to understand what is wrong so they don't worry so much.

  14. Limit salt intake, drink limited water around 1.5L/day, quit smoking & alcohol , go green & excercise !!

  15. Great video…..I would be interested to know what you think is important for us in the prehospital field. I like to learn as much as I can….and I would love to know what you think we should know and concentrate on.

  16. this video is 100% on point thank you for the information started to take enestro for congestive heart failure trying to find out if it's okay for me to exercise enestro really makes you tired

  17. Very helpful,learned more in these few minutes than did in 1 hospital visit and countless hours spent at primary office visits. Thanks

  18. My doctor put me on Aldactone 50 mgs. This takes fluid out of the lungs, many heart patients don't know this drug is available. I breathe a lot better now. I have CHF too.

  19. I left the hospital chest pain every day no one will save me this is a game I don't play games so why mess with a woman who won't be here long either way everyone is hurting one way or another

  20. I am in congestive heart failure. It does not mean I do not have heart. I do not want to die in this political horror show. A strike may have left me almost blind- but not too blind to see what is happening. It's happened before- please don't let it happen again

  21. Thank all that I got a second opinion because I took my mother to the same E.R and they slowed her beat but I took her to a different hospital and they did a ct scan and found heart failure… no offense, but I think that hospital did this and almost cost the life of my mother… be careful on what you say cause people's lives are at risk…

  22. this video is not for the everyday person, unless you sit there with a dictionary, you are an anatomy major, or studying to be a nurse or in med school, cardiomegaly, love that word

  23. Open Google Doc Rajendra sheregar And see images videos litreture medical science institution Cardiovascular and multìspeciality

  24. excellent video!!!! 8 years ago i was diagnosed with CHF .. my ejection fraction was 29 … bp was like 230 over 130 … major heart attack and a 4way by pass … now today my ejection fraction is 53 … bp runs 120ish over 80ish and cholesterol is good…. no lasix, no statins, only 2 heart pills and a asprin … all thanks to the great team at memorial medical center – heart failure clinic …. a good team is key to getting healthy recovery.

  25. My father had Anjio blast with 70 percentage block .. now he had severe dry cough .. what does it mean? Can you help me plz .. is that congestive heart failure symptoms ?

  26. My father got minor stroke in January. I didn't go for angiogram. From past 10 days he is coughing. Is it effect of that heart attach?

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