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CONGESTIVE HEART FAILURE


Congestive Heart Failure (CHF) is generally defined as inability of the heart to supply sufficient blood flow to meet the body’s needs. The commonest cause is as a result of a previous heart attack (whereby a substantial part of the heart muscle dies).

Other causes include poorly controlled long standing hypertension, diseases of the heart valves, as well as less well defined causes like viral infections etc.


The common symptoms include:

  • Breathlessness when lying flat at night to sleep, with episodes of awakening due to breathlessness and necessitating the usage of more and more pillows

  • Breathlessness when exerting (e.g. walking), with the total effort tolerance decreasing objectively (e.g. can walk less and less) as the disease progresses

  • Coughing

  • Fluid retention usually starting from the lower limbs (for people who are still able to walk)


CHF is considered an end-organ failure state. It has a mortality rate comparable to cancer, and treatment really lies in the:

Relief of symptoms

Optimization of function

Preservation of cardiac function

Medications are the mainstay of treatment, and other lifestyle measures may be implemented under a cardiologist’s supervision.


On occasion, there may be a role for a biventricular pacemaker insertion, as well as cardiac surgery.In the terminal stage, for suitable candidates, a heart transplant remains the only solution for cure.

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THE HEART DOCTORS CLINIC

Mount Alvernia Hospital,

820 Thomson Road, Mount Alvernia Medical Centre D, 

#05-56, S(574623), Singapore

Telephone: +65 6256 5680  Fax: +65 6256 5621

Email:  theheartdoctors@gmail.com

www.theheartdoctors.net

 

Be of good courage and HE shall strengthen your heart. All you who hope in the Lord   (Psalms 31:24)

所有仰望耶和華的人,你們都要剛強,堅固你們的