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Congestive Heart Failure

Congestive Heart Failure: Types, Causes, and Treatment

author Dr. Anurag Sharma | calender January 06, 2020

A chronic progressive condition affecting the pumping power of muscles of your heart is better known as congestive heart failure. CHF is a stage when build up fluid around your heart causes it to pump inefficiently. It can involve either right or left side or all four heart chambers.

Depending upon the severity of the condition, age, genetics, and several other factors, the life expectancy of a patient suffering from congestive heart failure varies. According to the Centers for Disease Control and Prevention (CDC), around 50% of all patients survive beyond five years if diagnosed with congestive heart failure.

Chronic congestive heart failure brings more painful and slow death. In this condition, the weakened heart is unable to pump out all the blood inside it. Later, there is leakage through small blood vessels as the blood starts backing up into the abdomen, liver, lungs, and lower body to worsen the health of patients.

Types of Congestive Heart Failure

Congestive heart failure occurs for left-sided heart failure or right-sided heart failure though it can also co-occur for both sides. Besides, congestive heart failure can be diastolic or systolic.

Left-sided Heart Failure

The most common type of heart failure is left-sided heart failure. There is a left heart ventricle located at the bottom of the left side of your heart. Its responsibility is to supply oxygen-rich blood to various parts of your body. But when this left ventricle does not pump efficiently, it causes left-sided heart failure — eventually breaking the flow of oxygen-rich blood to your body, instead of backing up fluid to create short breathiness.

Right-sided Heart Failure

Right heart ventricle functions to collect oxygen by pumping blood to your lungs. When the right side of your heart fails to perform its function, it can result in right-sided heart failure. This problem is usually triggered by left-sided heart failure by accumulating blood in the lungs to cause trouble in the working of the right ventricle. Besides, right-sided heart failure can also be a consequence of lung disease.

Diastolic Heart Failure

When your heart muscle transforms into stiffer than usual, it can result in diastolic heart failure. This stiffness, perhaps a result of heart disease, makes it difficult for your heart to fill up blood to cause diastolic dysfunctioning: Resulting in reducing the flow of blood to the rest of the body organs. Women are more prone to this kind of heart failure than men. It can occur on the right or left side or both sides.

Systolic Heart Failure

The condition when heart muscle loses its ability to contract leads to Systolic heart failure. Our heart must contract to pump precious oxygen blood throughout the body. But when your heart is enlarged and weak, it can render systolic dysfunctioning. Generally, men suffer from this problem than women. Same as diastolic, systolic heart failure can occur on the right or left side or both sides.

Causes of Congestive Heart Failure

Certain disorders can impair the pumping efficiency of your heart to result in congestive heart failure. Some of the common reasons for congestive heart failure are:

  • Coronary artery disease
  • Copious consumption of alcohol
  • Heart valve disorders
  • High blood pressure (hypertension)
  • Heart muscle stiffening's viral infection
  • Thyroid problem
  • Abnormalities of heart rhythm

Treatment of Congestive Heart Failure

You have a lot of choices for treatment. If you have congestive heart failure, your heart specialist can prescribe you medicine and change your lifestyle to recover from the problem. In worse scenarios, you can turn to congestive heart failure centres to get treatment by surgery.

Treatment by medication

It is necessary to take medicine, as recommended by your heart care doctor. The standard type of drugs for the treatment of congestive heart failure are:

  • Aldosterone antagonist
  • Calcium channel blockers
  • ACE inhibitors
  • Beta-blockers
  • (angiotensin II receptor blockers)
  • ARNIs (angiotensin receptor-neprilysin inhibitors)
  • Blood vessel dilators

Bypass Surgery

Bypass surgery is useful to improve the functioning of your heart by regulating blood flow around a clogged artery. Cardiac resynchronization therapy (CRT) Off-kilter heartbeat can worsen your heart failure. In cardiac resynchronization therapy, a pacemaker sends timed electrical impulses to your heart's right and left ventricle to make them synchronized and pump better.

Heart valve surgery

In this treatment option, the cardiac surgeon repairs or replaces your faulty heart valve that is responsible for your heart failure.

Implantable cardioverter-defibrillator (ICD)

Doctors insert a device similar to a pacemaker in your chest. Wires keep track of your heart rhythm by leading through veins into your heart. ICD paces your heart back into normal rhythm, in case of centres' dangerous rhythm. An ICD can also speed your heart up if it's working too slow to act as a pacemaker.

Infarct exclusion surgery

Heart attack to the lower left chamber of your heart forms a scar. The thin scarred area can bulge out with each beat to form an aneurysm that is removed by a heart surgeon.

Ventricular assist device

This device is put into your abdomen or chest, helping your heart to pump blood to other parts of your body. Commonly it is used by the left ventricle of your heart.

ABOUT Dr. Anurag Sharma

Dr. Anurag Sharma is among one of the best cardiologists in North India providing treatments for congestive heart failure. By offering comprehensive treatment at our intensive care unit to patients, we oblige them by saving their valuable life from congestive heart failure.

Our cardiologists are proficient and adept at doing satisfactory treatment of patients in severe conditions of illness. Patients who need treatment by medication, surgery, cardiac resynchronization therapy, heart valve surgery, Implantable cardioverter-defibrillator (ICD), Infarct exclusion surgery, or ventricular assist devices can meet our specialists for counselling. Give us a call; we are the top class heart care hospital providing a reliable treatment to cure people.