Preventing heart failure starts small

2022-04-29 0 By

Heart failure, also known as heart failure, is a syndrome of circulatory dysfunction caused by insufficient cardiac output to sustain tissue metabolic needs due to impaired cardiac diastolic and/or systolic function in the presence of adequate venous reflux.Clinically, it is characterized by reduced cardiac output, reduced tissue hemoperfusion and venous congestion in pulmonary circulation and/or systemic circulation, so it is also called congestive heart failure or cardiac insufficiency.It is not a specific disease, but refers to a state of abnormal heart function, is the final battlefield of cardiovascular disease.Because, the development of various cardiovascular diseases to a certain extent may lead to the occurrence of heart failure, such as coronary heart disease, myocarditis, abnormal heart structure, heartbeat too fast or too slow;Poorly controlled hypertension, pulmonary embolism, valvular heart disease, hyperthyroidism, anemia and other diseases can also lead to increased heart load, leading to heart failure;Long-term smoking and alcohol use, as well as the use of certain medications, can also damage the heart, leading to heart failure.According to the China Cardiovascular Health and Disease Report 2020 released by the National Cardiovascular Disease Center, the number of patients suffering from cardiovascular diseases in China is about 330 million, including 13.7 million patients with heart failure, and about 50% of patients with heart failure die within 5 years after diagnosis.The European Heart Failure Association (EHF) and the European Association for the Prevention of Heart disease (EHF) have jointly released a position statement on the prevention of heart failure.The statement points out several important issues that need to be paid attention to in life.Low fat, low sugar, low salt and low alcohol Low fat: Keep saturated fat ratios low (trans fats are consumed as little as possible);Low sugar: don’t drink sugary drinks.Low salt: Low daily alcohol consumption: less than 20 g/ day for men and less than 10 g/ day for women, it is best not to drink alcohol (also quit smoking).Maintaining a healthy diet rich in whole grains, vegetables, fruit and fish;Daily intake of fruits and vegetables ≥200 g;Eat fish 1 to 2 times a week;Eat 30 grams of unsalted nuts a day.In general, symptoms of heart failure are well controlled with no significant change in mental status, no shortness of breath, no discomfort in the anterior centerless area, no edema or progressive edema (including feet, ankles, calves, and abdomen), and no abnormal weight gain.However, once an attack occurs, there are two types of conditions: acute heart failure and acute chronic heart failure.Acute attack of heart failure is the biggest characteristic of “fast”, patients due to sudden myocardial infarction, serious atrial fibrillation, a large number of transfusion, severe myocarditis, and instant or in two or three days of serious dyspnea, even sitting up can not breathe;Sweating, coughing up white sputum, even coughing up blood sputum;Progressive edema of the feet, ankles, calves, or abdomen;Lack of clarity, inability to think clearly.If patients with the above situation, do not carry, must be sent to the hospital immediately, time is life, time is the heart.Acute, chronic heart failure is the patient suffering from heart failure, stable condition after treatment, but suddenly one day due to drink water more, eat and drink too much, cold, or severe pulmonary infection, fever, angina pectoris, diabetes, cause progression of heart failure, difficulty in breathing, reduced the volume of urine, severe edema, leg two or three times thicker than the original, appear even skin surface water seepage, etc.,These are classic signs of worsening heart failure.If the patient has basic heart disease, such as coronary heart disease, hypertension, diabetes or heart disease, special attention and monitoring of the above clinical signs, so as to achieve correct and timely management and adjustment of medication, reduce or prevent acute attack of chronic heart failure patients, improve symptoms, reduce the rate of re-hospitalization, improve the quality of life.Experts say the key to heart failure is early identification and prevention.Patients who have suffered from coronary heart disease, hypertension, diabetes and other diseases, should start early treatment as soon as possible according to the cause, to avoid inducing heart failure, at the same time in daily life to follow the doctor’s advice on medication, and improve lifestyle, appropriate exercise, ensure adequate sleep, reasonable diet, etc..