1. HEART
FAILURE
BY: DR. M. ABDEL SATTAR

2. DEFENITION

3. CLASSIFICATION
ACUTE
*CHRONIC *
SYSTOLIC
*DIASTOLIC*
LT SIDED
*RT SIDED*

4. CAUSES & RISK
FACTORS
ISCHEAMIC HEART DISEASE*
DILATED CARDIOMYOPATHY*
HYPERTENSION*
FAMILIAL*
POST PARTUM*
CHEMOTHERAPY*
RADIOTHERAPY
*VALVULAR*
LESIONS

5. PRECIPITANTS
REDUCTION IN THERAPY*
ARRYTHMIAS*
MYOCARDIAL ISCHEAMIA OR*
INFARCTION
INFECTION*
DRUGS*
ANAEMIA*
ALCOHOL*
PULMONARY EMBOLISM*

6. CLINICAL PICTURE
DYSPNOEA
FATIGUE
PND
ORTHOPNOEA
PALPITATIONS
RAISED JVP
.HEPATOMEGALY.
.OEDEMA.
.CHEST PAIN .
.CACHEXIA.
.SLEEP APNOEA.
.GALLOP RHYTHM.

7. INVESTIGATIONS
ECG*
CHEST X-RAY*
ECHO*
BLOOD TEST*
SPECIFIC TESTS*

8. DIFFRENTIAL
DIAGNOSIS
OBESITY
*RENAL DISEASE*
CHEST DISEASE *HEPATIC DISEASE*
.VENOUS INSUFFCIENCY IN L.L*
DRUGS
*SEVERE ANAEMIA*
HYPOALBUNAEMIA*
DEPRESSION
*THYROID DISEASE*

9. MANAGEMENT
DIURETICS*
ACE INHIBITORS*
ARBs*
B BLOCKERS*
ALDOSTERONE RECEPTOR*
ANTAGONIST
CARDIAC GLYCOSIDES*

10. MANAGEMENT
.
VASODILATORS*
POSITIVE INOTROPIC SUPPORT*
ANTIPLATELET*
ANTICOAGULANT*
.MISC*
cont

11. MANAGEMENT cont
.
DEVICE THERAPY*
SURGERT (valve surgery – CABG – assist *
(devices
TRANSPLANTATION*

12. ?WHAT NOT TO GIVE
NSAIDS*
B STIMULANTS*
VASCON *

13. THANK YOU