Intractable cardiac insufficiency

Introduction Heart failure is generally referred to as the late stage of cardiac insufficiency and belongs to the stage of decompensation. The patient has already exhibited significant symptoms and signs of heart failure. Refractory heart failure refers to a person who has difficulty in controlling heart failure after regular rest, limiting sodium and water intake, and giving diuretics and cardiotonic agents. Refractory heart failure is the result of the development of heart disease to the end stage. When a typical patient presents with rest or minimal activity (including most daily activities), symptoms of heart failure occur and often require repeated or prolonged hospitalization for treatment. Therefore, its treatment strategy is different from general heart failure.

Cause

Reasons for refractory heart dysfunction:

Stubborn heart failure is the end-stage of heart disease. It belongs to the traditional Chinese medicine "heart failure disease". It is responsible for the external evils, the external evils, the negative damage and the yin, the yin and yang, the internal spleen and stomach, and the stomach qi.

an examination

Related inspection

Blood routine angiography Doppler echocardiography

Diagnosis and examination of refractory cardiac insufficiency:

1, breathing difficulties, persistent, often can not supine, cough.

2, poor appetite, upper abdominal pain, liver, ascites, lower extremity edema is more obvious.

3, often have incentives, such as infection, arrhythmia, rheumatism, infective endocarditis, electrolyte imbalance.

4, the heart phase, showing a larger heart.

5, B-ultrasound, liver hemorrhage is obvious.

Differential diagnosis

Differential diagnosis of refractory cardiac insufficiency:

Cardiac decompensation: When heart disease becomes worse and heart function declines beyond its compensatory function, cardiac decompensation occurs. Heart failure is mainly caused by right heart failure. It is characterized by shortness of breath, increased purpura, jugular vein engorgement, hypertrophy of the liver, edema of both lower extremities or ascites, increased venous pressure, oliguria, loss of appetite, abdominal distension, nausea and vomiting, increased heart rate, severe shock or even shock death.

Right heart dysfunction: clinically characterized by insufficient cardiac output, reduced tissue blood flow, and pulmonary circulation and/or systemic congestion. Therefore, it is also called congestive heart failure. The pathological basis of right heart failure is caused by systemic congestion. Common appetite loss, nausea and vomiting, oliguria, edema and so on.

Heart Failure: Not an independent disease, it refers to a serious stage of heart disease caused by various causes. The incidence is high and the five-year survival rate is similar to that of malignant tumors. Heart failure is due to initial myocardial damage and stress: including systolic or diastolic ventricular overload and/or changes in the number and quality of cardiomyocytes (segmental myocardial infarction, diffuse such as myocarditis), causing ventricles and (or Buxinfang hypertrophy and enlargement (ventricular remodeling, remodel-ing people followed by ventricular systolic and diminished function, gradually developed.

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