February 4, 2023
Early Signs of Heart Failure In Adults

Know About Early Signs of Heart Failure In Adults

Heart disease is a very common term nowadays, even in adults. So, we should be more concerned about the early signs of heart failure. The primary sign of any heart disease is chest pain. Besides this, there are some other signs also.

Heart failure is a very dangerous disease to be faced by adult people. Heart failure can be called congestive heart failure(CHF). Heart failure happens when the heart stops pumping blood properly.

According to the Journal of the American College of Cardiology study, there is an increase in the incidence of heart failure in people under the age of 65. According to experts, this is partly due to a “bunch of risk factors” in young adults, such as hypertension, high blood pressure, obesity, and coronary artery disease.

Heart failure is easily confused with cardiac arrest, which happens when your heart suddenly stops beating. Heart failure results from long-term heart disease, such as coronary artery disease, which creates a fatty plaque in your arteries that can reduce blood flow, causing strain on your heart muscles.

Heart Failure In Adults

Heart failure is one of the most common cardiomyopathies over age 65. But nowadays, both male and female adults also suffer from this heart disease. It is characterized by an inability of the heart to function the pump, resulting in insufficient blood supply to the rest of the body and “stagnation” of blood upstream of dysfunctional heart chambers, which causes “congestion” of the affected organs. This is called heart failure.

Heart failure is a chronic condition with a frequency of about 9% in Bangladesh, but it becomes increasingly more frequent with age and female gender, reaching 85% of both sexes over the age of 15.

Due to the general aging of the population, it is currently cardiovascular disease with the highest incidence (5-1000 new cases per 1 subject/year) and prevalence (more than 65 cases per 1000 subjects over 100 years) and the leading cause of hospitalization in people over the age of 65.

Heart Failure: What Causes It?

Heart failure is usually caused by damage to the myocardium and heart muscle, such as excessive pressure due to a heart attack, uncontrolled hypertension, or valve dysfunction.

The electrocardiogram of many degenerative patients may show a left bundle branch block (BBS), a change in the propagation of electrical impulses that can alter the mechanics of the heart, confusing contractions and, as a result, worsening cardiac contractile function.

Early Signs of Heart Failure In Adults

In adults’ early stages of heart failure, symptoms or signs may be absent or mild (such as shortness of breath after strenuous exercise).

However, heart failure is a progressive condition, causing symptoms to gradually become more noticeable, requiring a doctor’s attention or hospitalization.

Signs as a result of Reduced Blood Supply to Organs and Tissues and ‘Congestion’ OF Damaged Organs, Can Include: Blood Stagnation Upstream OF Dysfunctional Cardiac Chamber, Incorporating:

  • Dyspnea I.A. Shortness of Breath, Due to Accumulation of Fluid in the Lungs: Initially, IT IS SCENE After Intense Exertion, But Also After Gradual Light Exertion, Lying Down It Rest, and Even During Sleep (Decubitus Dyspnea), Interception of Night Rest, and Forcing One To Sit Down.
  • Edema (swelling) of the lower limbs (feet, ankles, feet) is also due to fluid accumulation.
  • Abdominal bloating and pain, again due to fluid accumulation, in this case, in the viscera.
  • Athena (fatigue) due to low blood supply to the muscles.
  • A dry cough is caused by a buildup of fluid in the lungs.
  • Hunger.
  • Difficulty concentrating due to the low blood supply to the brain, and confusion in severe cases.

Heart Failure: Levels Of Severity In Adult

Based on the signs that physical activity causes and the extent to which it is limited, the New York Heart Association has determined the increasing severity (I to IV) of four classes of heart failure:

  • Asymptomatic patients: Habitual physical activity does not cause fatigue or dyspnea.
  • Mild heart failure: After moderate physical activity (such as a few flights of stairs or climbing a few steps with weight), dyspnea and fatigue are felt.
  • Moderate to severe heart failure: Dyspnea and fatigue occur even after minimal physical activity, such as walking or climbing stairs at a level of fewer than 100 meters at an average pace.
  • Severe heart failure: Restlessness, shortness of breath, and fatigue occur even at rest, sitting, or lying down.

Risk Of Heart Failure For Young Adults

Researchers recently looked at the relationship between high cholesterol and blood pressure levels in childhood and the impact on heart health later in life.

Their data got, published in the Journal of the American College of Cardiology, found that “elevated exposure (levels) was associated with coronary heart disease and heart failure later in life in young adulthood (ages 18 to 39 years). ”

Doctors warn young people with high blood pressure, diabetes, and smoking are modifiable risk factors. While genetics ultimately play a key role in your overall heart health, a healthy lifestyle can address some risks. According to Doctor. Shthur, “What I see with young adults is hypertension.

They can diagnose diabetes in their 30s or 40s and think their blood pressure falls to 170. However, ten years or more of blood pressure weakens the heart and can cause congestive heart failure.”

Adult Ages Heart Failure Treatment

Heart failure is a chronic condition that requires multidisciplinary approaches to reduce symptoms, slow up the progression of the disease, reduce hospitalizations, and improve patient survival and quality of life.

In addition to early diagnosis, the patient’s active role and cooperation between the multidisciplinary team and the family doctors are valuable.

The main treatment options include:

  • Lifestyle changes, including reducing salt consumption; regular aerobic physical activity of moderate intensity (e.g., 5 minutes of walking at least 30 days a week); Fluid intake limited.
  • Self-monitoring, i.e., daily monitoring of body weight, blood pressure, heart rate, and the possible presence of edema.
  • Pharmacological therapy, including several medications in combination with drugs to inhibit the renin-angiotensin-aldosterone system, anti-depressant drugs of the sympathetic nervous system (beta-blockers, such as carvedilol, bisoprolol, nebivolol, and metoprolol); neprilysin inhibitor drugs (such as sacubitril); Sodium-glucose cotransporter inhibitors.
  • Cardiac resynchronization therapy (in combination with medication if there is a disorder of electrical impulse conduction, such as a left bundle-branch block): It is necessary to install an electrical device (pacemaker or biventricular defibrillator) to re-synchronize cardiac contractions. With medication, the devices can slow the progression of the disease and sometimes normalize the left ventricular ejection fraction.
  • Surgical interventions (such as surgical or percutaneous correction of valve disease, surgical or percutaneous myocardial revascularization, up to ‘artificial heart’ and heart transplantation).

Can Heart Failure Be Prevented?

Regarding cardiovascular pathologies, including heart failure, prevention is essential, working on modifiable cardiovascular risk factors, such as high blood pressure, high cholesterol, smoking, addiction, and obesity.

So it is necessary to pay proper attention to your lifestyle, quit smoking, do regular physical activity, and control cholesterol levels and weight.

People at risk for heart disease should also undergo preventive medical tests for an early diagnosis, even in the absence of symptoms (such as asymptomatic left ventricular dysfunction), and take quick action accordingly.

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