Heart failure Immediate death – Heart failure (Heart Failure) The silent threat of heart failure, if it is already and not treated urgently. May make the patient experience worse Can lead to death
Prof. Dr. Roongrote Krittayaphong, MD, MD, said that in the past five years the mortality rate of patients who are hospitalized with heart failure There are more types of cancer. It is more common in the elderly and up to 2% need to go to the emergency room. It was all caused by a lack of control and without good treatment. The nature of the disease will continue. If not treated early The disease will develop faster until it cannot be controlled. Especially patients in high risk groups such as diabetes, kidney disease.
‘Heart failure’ is a syndrome caused by abnormalities of the heart’s work. It may be due to abnormalities in the structure or function of the heart. As a result, the heart cannot pump blood to the body or get blood back to the heart normally. Today, Thai people tend to pay less attention to heart failure than cancer. Actually The death rate of heart failure is higher than that of many cancers.
On average, the death rate while The hospital of heart failure patients is about 3-4%, the 1-year mortality rate is 20-30%, the 5-year mortality is about 60%.
Prof. Dr. Roongroj continued that heart failure is not a new thing. Or more intense than in the past But we may not be familiar. Do not know much about the disease When modern medicine Paying more attention to heart failure Patients also have more knowledge about this disease.
Therefore, we often encounter people with heart failure about 1% of the total population. And will always meet upon arrival Hospital with symptoms of cardiovascular disorders already Especially the United States Heart failure is the most common symptom of emergency room patients. The main cause of the disease is poor treatment control. Causing the disease to develop rapidly Until unable to control But if the patient is treated properly May result in lower mortality And live as long as normal people as well
Prof. Dr. Roongroj said that heart failure and coronary heart disease. Are similar And share the same symptoms as most patients often misunderstand the disease. And often lacking good attention to treatment
With ischemia caused by abnormal coronary artery disease causing the blood vessels that supply the heart muscle to narrow Therefore having tightness, chest pain when exercising or having to exert Because the heart, when working harder Not enough blood to feed the heart. If it happens suddenly Symptoms will immediately stop severe for hours. It can cause sudden myocardial infarction (heart attack).
As for the symptoms of heart failure We can observe from the symptoms of the respiratory system, such as tiredness, pneumonia, swelling of the legs, from cardiac disorders And resulting in abnormalities in many body systems such as the lungs, there is fluid retention in the lungs, pulmonary edema, causing abnormal oxygen exchange. Therefore getting tired easily, exhaustion, and not doing normal activities If it happens suddenly May even suffocate
The goal of treatment is to improve the patient’s condition. Improving the quality of life of the patients And finally, to prolong the life of the patient, treatment is both preventive in patients at risk of Is to take care of factors or diseases such as diabetes, high blood pressure. Or cardiovascular disease To be in the normal state Not able to cause heart failure in the future
For patients with heart conditions Already failed Will use drug or device-assisted treatment The use of the drug depends on the type of heart failure. Whether it is an abnormal compression or loosening of the heart Therefore, additional diagnostic tests, such as echocardiography of the heart (Echo Cardiogram) are required. Or tools that help the work of the heart This will reduce the risk of death well.
The difficulty of the treatment If a patient has a joint disease, the treatment will be more difficult. Because the treatment of joint disease symptoms May affect the treatment of heart failure, such as those with diabetes already. If diabetes is not well controlled It will affect the malfunctions of the heart. And narrowing of the heart
In addition, the food consumption of Thai people Can be a risk factor for disease Because Thai people are addicted to too much salty and sweet food, which can be a catalyst for heart failure as well. It is necessary for a doctor to understand the nature of the disease. The doctor will make adjustments to treatment. Treatment is evaluated at all times. To adjust medication and treatment to suit the patient
“Relatives who care for the sick Or patient Abnormalities must be observed regularly, such as dehydration or excess. This is because diuretics may be required for treatment. Therefore should be weighed every day. If the extra weight is more than 2 kilograms, you should consult a doctor because there may be overhydration Or taking medication can affect blood pressure Causes low blood pressure, dizziness, so should measure the pressure in conjunction with. If too abnormal Should go to see a doctor, ”Prof. Roongroj said
Prof. Dr. Roongroj said that In addition, cooperation with the medical team and the patient should be disciplined in the treatment. Take medication regularly, diet, do not eat salty, get enough rest. Avoid risk factors Control disease that causes risk factors, caregivers need to understand the patient and help take care of all aspects as well, just as long as a normal person can live.
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