Friday, January 30, 2015

Diagnosis:

Heart Failure generally start on the left side of the heart, if untreated the disease can be progressively worse by fluid back up to the lungs, causes shortness of breath or pulmonary edema. Over time, the failure of the left side of the heart will effect the right side of the heart, which will cause fluid back up to the system, such as swelling of the feet and ankles, in the liver, palpitation or irregular heart beat and weakness. When doctors suspect you have a heart failure, the doctors will most likely do a Echo Cardiogram, Chest x-ray, Stress test, Blood test, Cardiac computerized tomography (CT) scan, Magnetic Resonance Imaging (MRI), Coronary Angiogram, or Electrocardiogram (EKG).




Electrocardiogram: is a sound wave ultrasound to produce a video image of your heart. This test allow the doctor to see the blood movement of the heart, the size and shape of the heart and how well the heart is pumping. It can help doctors look for valve problems or evidence of previous heart attacks, and other heart abnormalities.


 X Ray: can help your doctor to see the condition of the lungs and heart. In heart failure, your heart may appear enlarged and fluid buildup may be visible in your lungs. Your doctor can also use an X-ray to diagnose conditions other than heart failure that may explain your signs and symptoms.
Stress Test:  The doctor will asked you to walk on a treadmill or pedal a stationary bike while attached to an ECG machine. This is to measure how is your heart and blood vessels respond to exertion, and other heart problem.

 

Blood Test: Your doctor may take a sample of your blood to check your kidney, liver and thyroid function and to look for indicators of other diseases that affect the heart.
A blood test to check for a chemical called N-terminal pro-B-type natriuretic peptide (NT-proBNP) may help in diagnosing heart failure if the diagnosis isn't certain when used in addition to other tests.



Coronary Angiogram: when a doctor suspect you have a heart failure, it might want you to do a Coronary Angiogram. In this test, a thin, flexible catheter will inserted into a blood vessel at either the groin site or at the arm. A dye will injected through the catheter makes the arteries supplying your heart visible on an x ray. This will help doctor identify narrowed arteries of the heart.


EKG: show the electrical activity of your heart through electrodes attached to the skin. The impulses are recorded as waves and displayed on a monitor or printed on paper. This test helps the doctor diagnose heart rhythm problems.



MRI: is a magnetic field aligns atomic particles in some of the cells, when radio wave are broadcast toward these aligned particles, they produces images of the heart. This is to evaluate the structure and function of the heart.

References:

Heart Disease and MRI Testing. (n.d.). Retrieved January 30, 2015, from http://www.webmd.com/heart-disease/guide/heart-mri

Heart failure. (2015, January 17). Retrieved January 30, 2015, from http://www.mayoclinic.org/diseases-conditions/heart-failure/basics/tests-diagnosis/con-20029801

Saturday, January 24, 2015

Pathophysiology/Etiology


Congestive Heart Failure often develops after other condition such as high blood pressure, coronary heart disease, diabetes, advanced age, tobacco use, obesity and high cholesterol can contribute to the damage or weaken of your heart. This can cause your heart to become stiff to the point that the heart cannot pump blood efficiently throughout the body to meet the oxygen and nutrient needs of the body.

Heart Failure can involve the left side, right side or both side of the heart. Generally the left side of the heart damage first then it will later effect the right side of the heart, which in turn damage both side of the heart.  If  heart failure is on the left side of the heart, the fluid may back up in your lungs, causing shortness of breath. If it is on the right side of the heart, fluid may back up into your abdomen, legs and feet, causing swelling.




About Heart Failure. (2012, August 20). Retrieved January 24, 2015, from http://www.heart.org/HEARTORG/Conditions/HeartFailure/AboutHeartFailure/About-Heart-Failure_UCM_002044_Article.jsp


Congestive Heart Failure CHF). (2013, August 18). Retrieved January 24, 2015, from https://www.youtube.com/watch?v=dJBFCergsuM

Heart failure. (2015, January 15). Retrieved January 24, 2015, from http://www.mayoclinic.org/diseases-conditions/heart-failure/basics/causes/con-20029801