Heart Failure

• What is heart failure?

  a chronic condition that occurs when the heart cannot pump enough blood to meet the needs of the body
• First sign of heart failure is SOB
• Causes of CHF

  • HTN
  • CAD
  • Cardiac dysrhythmias
  • Renal insufficiency
  • Cardiomyopathy
  • Valve issue
  • Pericardial effusion
  • PE
  • Pulmonary HTN
  • SCI
• Left Sided CHF

  • HFrEF
  • systolic
  • most common
  • low CO
  • L ventricle does not contract normally
• Left Sided CHF

  • HFpEF
  • diastolic
  • from volume overload
  • L ventricle loses ability to relax normally
  • EF is still low than it was before CHF developed
• Sx of Left HF

  • dyspnea
  • orthopnea
  • fatigue
  • chronic cough
  • sudden wt gain
• Right Sided Heart Failure

  • usually due to L sided HF
  • R side of the heart fails, blood backs up into the body’s veins
  • Causing swelling of legs, ankles, and abdomen
• Signs of R sided HF

  • peripheral edema
  • jugular vein distention
  • ascites
  • enlarged liver and spleen
  • signs of L ventricular failure