Congestive Heart Failure it Is


If the various factors that exacerbate the condition were to be managed with the appropriate amount of aggression, like for example, if the symptoms of hypertension were to be managed well, then the Congestive Heart Failure would also be managed along with. In a similar manner, valvular disease and excessive intake of alcohol may have the result of ventricular dysfunction, and this would inevitably lead to heart failure if it were to be ignored or if the correct treatment method were to be ignored. (Cohn, 1998)

However, if the symptoms were to be managed well, then this would be sufficient enough to prevent the remodeling of the left ventricle, and the resulting dysfunction and the occurrence of Congestive Heart Failure. Similarly, early intervention with the appropriate treatment methods like the provision of angiotensin enzyme inhibitors would not only prevent the occurrence of Congestive Heart Failure but also treat the syndrome. Various other treatment or intervention methods for those patients who suffer from acute myocardial infarction would essentially slow down the process or even prevent the process of the remodeling of the left ventricle that generally precedes the development of the phenomenon of Congestive Heart Failure.

The primary care physician must be aware of the benefits of the early intervention procedures so that the patient as well as the society in general would be able to handle such patients in a better manner. It is a fact that Congestive Heart Failure usually occurs when there is cardiac disease present in the patient, and it is the dysfunction of the left ventricle that is the most obviously apparent symptom that occurs before the onset of Congestive Heart Failure. Therefore, when more efforts are undertaken to treat the etiologic factors in an appropriate manner, even before the starting of the progress of the Congestive Heart Failure, then that would be the best method of the prevention of the heart condition that is quite often fatal. (Cohn, 1998)

What is to be remembered is that though there is no known method in which to reverse heart damage and Congestive Heart Failure, the correct and right treatment can improve to significant levels the various signs and symptoms of heart disease, and it must also be remembered that if the patient were to make the appropriate changes in his lifestyle and in his diet, and were to take up specific exercises under the supervision of the attending physician, then the weakened heart would be able to function with more efficiency and also with considerably less effort. Since Congestive Heart Failure is not something that would occur all of a sudden to catch the patient completely unawares, if certain steps were to be taken, it could very well be prevented. Congestive Heart Failure generally develops gradually, over a certain period of time, and sometimes, the very first symptom may be a shortness of breath and also a difficulty in breathing. Therefore, when the patient of heart disease undertakes to make the necessary changes in his lifestyle and general habits, it may be considered to be the very first step in the prevention process of the Congestive Heart Failure that may occur due to certain unmanaged and uncontrolled symptoms exhibited by the patient, like for example, high blood pressure, which, were it to be treated at its early stage, would not lead to a weakening of the heart. (Congestive Heart Failure: Mayo Clinic)

When Congestive Heart Failure is related to the respiratory tract, then it must be considered as a serious and chronic health condition with a high rate of morbidity as well as mortality, and the great tragedy is that it can in fact be very effectively prevented with certain precautionary measures that the wary attending physician would be able to prescribe for the patient so that his heart condition would not lead, inevitably, to Congestive Heart Failure. The fact is that the traditional health-care systems that exist today have the point of focus the treatment of the disease at the final point of failure, like for example, a life saving surgery or an intensive and aggressive medical therapy, rather than attempting to prevent it at the very outset. The fact that the existing population is ageing, and that more and more people are hoping to live longer lives makes it more and more necessary to manage the health factor of life and the life threatening diseases such as Congestive Heart Failure in a much better and more efficient manner than is being done at present. It is an issue of major concern that the disease is not being given the prominence and the importance that it deserves, as a major and chronic health condition with the resultant loss in the very quality of life of the patient. (Population Monitoring of Quality of Life for Congestive Heart Failure)

When the disease manifests itself in the respiratory system of the body, then it is generally known as Congestive Heart Failure of the Respiratory Tract. This means that the heart has become extremely congested and is not bale to pump blood at its optimum best, and at the needed blood volume. If the lungs were congested, then the symptoms would be labored breathing and wheezing and auscultation of crackles as well as wheezes and an extreme shortness of breath. These symptoms may lead to the onset of the phenomenon of orthopnea, which n other words, means that the patient would experience extreme difficulty in lying down or maintaining a supine position for very long. This is actually caused by the venous return of the blood to the heart, and this would in turn lead to greater amounts of congestion on the heart. There may also be an onset of 'cardiac asthma', which is dyspnea accompanied by wheezing, a non-productive cough, and loud volume gurgling sounds made by the patient. (Almazan; McFarland; Sanders, Congestive Heart Failure)

All the above mentioned symptoms are suggestive of 'pulmonary edema', and when an episode of acute respiratory distress occurs, it is indicated by an extreme breathlessness, increased rate of respirations, an accessory use of muscle, a nasal flaring, a bulging of the neck muscles due to the strain that the patient is undergoing while trying to breathe, a very loud expiratory as well as inspiratory breathing, a profuse diaphoresis, and cold and ashen and cyanotic skin color. This color is indicative of the fact that the patient has a decreased cardiac output, and also an increase in the sympathetic nervous system stimulation that generally occurs as a result of the cardiac problem, and also a peripheral vasoconstriction, and a total desaturation of the arterial blood. When cardiovascular assessment is carried out, then the various reasons for the occurrence of the Congestive Heart Failure can be discovered. The very auscultation of the S. And S. sounds that the patient makes while attempting to breathe show that the heart is in fact starting to go into a failure mode, and this also means that there is an increase in the blood volume within the ventricle, with each and every beat that the heart makes. The heart beat rate can also increase dramatically, and this is generally taken as a compensatory response to try to increase the cardiac output of the patient that at present is not at its best level.

The severity of the heart failure can be effectively measured by the method of 'hemodynamic monitoring' with which can indicate the exact level of the extent of failure. The 'Capillary Wedge Pressure' indicates the left ventricular end diastolic pressure, and if the reading is above 8 to 10 MM Hg, then it can be taken as an indicator of a decrease in cardiac output, and of hypo tension, as well as tachycardia. If the figures indicate a reading of above 18 MM Hg, then it can be taken as an indicator of pulmonary congestion. If there were an increase in the central venous pressure, that is, a figure that is greater than 12 MM Hg, then it would indicate a failure of the right ventricle, while left ventricular failure is indicated by a decrease in cardiac output, which generally leads to hypo tension. The electrocardiogram will also reveal the extent of the cardiac output of the patient, and show all the areas, in which there has been a change or a difference in the function and the structure of the heart, and which indicate the dysrhythmias that the heart has gone through. (Almazan; McFarland; Sanders, Congestive Heart Failure)

Who is a 'Respiratory Therapist', and how can he help to improve the life of the patient who is suffering from the symptoms of Congestive Heart Failure? It is a fact that everyone in the world takes the act of breathing completely for granted, without even sparing a second to analyze the intricacies and the importance…