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What is Heart Failure?

Heart failure is a common condition where the pumping function of the heart reduces drastically such that it cannot supply enough blood to the rest of the body. This is often seen in the elderly or persons suffering from heart disease for many years. It is a medical emergency and must be immediately treated in a hospital.

What are its main signs and symptoms?

The common signs and symptoms are:

What are its causes?

The chief causes of heart failure are as follows:

  • Cardiac causes such as
    1. High blood pressure
    2. Stenosis (Aortic or Pulmonary i.e. narrowing of blood vessels)
    3. Structural defects like interatrial or interventricular septal defect (hole in the walls of the heart)
    4. Myocardial Infarction (damage of heart muscle)
    5. Infective Endocarditis
  • Other causes include
    1. Infections
    2. Pulmonary embolism (blood clot in the lungs)
    3. Overdosage of Drugs like beta-blockers, non-steroidal anti-inflammatory drugs, etc
    4. Physical and emotional stress

How is it diagnosed and treated?

The doctor will take a detailed history of the patient to understand the symptoms, take blood pressure readings and also check for heart sounds.

Diagnosis is made by both laboratory tests as well as physical examination by a doctor. Laboratory testing is done to asses  

  • Urea
  • Electrolytes
  • Complete blood count
  • BNP (Brain natriuretic peptide)
  • Liver function
  • Kidney function

Imaging studies like Electrocardiogram (ECG),  chest X-ray and Echocardiography will also be performed.

Management of a patient with cardiac failure is as follows:

  • Physical and emotional rest
  • Weight loss
  • Treating breathlessness by providing oxygen therapy
  • Diet counselling
  • Stoppage of alcohol and smoking
  • Regular physical exercise

Drug therapy involves the following drugs:

  • Diuretics
  • Vasodilators
  • ACE inhibitors
  • ARBs
  • β-blockers
  • Statins
  1. Medicines for Heart Failure

Medicines for Heart Failure

Medicines listed below are available for Heart Failure. Please note that you should not take any medicines without doctor consultation. Taking any medicine without doctor's consultation can cause serious problems.

Medicine NamePack SizePrice (Rs.)
TelmichekTelmichek 40 Mg Tablet51
Clopitab ACLOPITAB A 150MG CAPSULE 10S60
TetanTETAN 20MG TABLET 10S45
Rosave TrioRosave Trio 10 Mg Tablet112
ArbitelArbitel 20 Mg Tablet30
TelsartanTELSARTAN 20MG ACTIV TABLET 28S0
Rosutor GoldROSUTOR GOLD 20/150MG CAPSULE207
Telsartan HTELSARTAN H 40MG TABLET 10S0
TelmikindTELMIKIND 20MG TABLET 30S44
Concor AmConcor Am 5 Mg/2.5 Mg Tablet60
Telma HTELMA H 40MG TABLET 10S0
Ecosprin Av CapsuleEcosprin-AV 150 Capsule36
Concor TabletConcor 5 Tablet107
Nebicard TNEBICARD-T TABLET120
Deplatt CvDEPLATT CV 10MG CAPSULE 10S51
Ecosprin GoldECOSPRIN GOLD 10MG CAPSULE 10S84
Tazloc TrioTazloc Trio 40 Mg Tablet94
EcosprinEcosprin 150 Mg Tablet6
Deplatt ADEPLATT A 150MG TABLET 15S49
Telma TabletTelma 40 MG Tablet165
CardivasCardivas 12.5 Tablet69
TenoricTenoric 100 Tablet49
PolycapPOLYCAP CAPSULE 10S200
PolytorvaPolytorva 10 Mg/150 Mg/2.5 Mg Kit84
Telma AmTelma 80 MG AM Tablet253

Do you or anyone in your family have this disease? Please do a survey and help others

References

  1. Stuart Ralston, Ian Penman, Mark Strachan, Richard Hobson. Davidson’s Principle and Practise of Medicine. 23rd Edition: Elsevier; 23rd April 2018. Page Count: 1440
  2. Aggarwal Praveen et al. Textbook of Medicine by K. George Mathew. Elsevier India, 2011; 878 pages
  3. American Heart Association. What is Heart Failure?. [Internet]
  4. Arati A. Inamdar et al. Heart Failure: Diagnosis, Management and Utilization. J Clin Med. 2016 Jul; 5(7): 62. PMID: 27367736
  5. Nahid Azad et al. Management of chronic heart failure in the older population. J Geriatr Cardiol. 2014 Dec; 11(4): 329–337. PMID: 25593582

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