Key Point :
Heart disease is the leading cause of death. Of Thailand and around the world, while the major cause of death from heart disease is heart failure. in Asia Pacific There are more than 32 million patients in total due to the increase in the aging population. The recurrence rate exceeds 6 million if patients take proper care of themselves. can be controlled no heart transplant needed The key is diagnosis.
heart failure or (Heart Failure) is a condition in which the heart is weak. inability to pump blood to different parts of the body normally because the heart contracts or relaxes abnormally Sometimes the heart is larger or thicker than normal. in Asia Pacific which has an increasing number of elderly people lifestyle changes, such as obesity, high blood pressure, diabetes, pushing the conditionheart failuresoared
heart failure It is a heavy burden in terms of medical care. loss of life Including the cost of treatment, both direct and indirect costs From gathering data from Roche Diagnostics (Thailand) Co., Ltd. reveals that in Asia-Pacific. There are more than 32 million patients in total due to the increase in the aging population. Recurrence rates exceed 6 million and costs exceed $8,000 per treatment. Medical costs in the Asia-Pacific region are worth US$48 billion. By 2022, Singapore There is a total health budget of about 14.4 billion US dollars.
related news
Dr. Ekarat Ariyachaipanich Cardiovascular pathologist Chulalongkorn Hospital and Director of the Heart Association of Thailand A representative of cardiologists from Thailand who attended the APSC (ASIAN PACIFIC SOCIETY OF CARDIOLOGY CONGRESS) in Singapore explained that heart disease It is the number 1 cause of death in Thailand and around the world, as well as cancer in some developed countries. from better medical treatment and patients live longer aging societyheart diseasemore and the main cause of death from heart disease is heart failure
prevalence situationheart failureWorldwide and Southeast Asia, 1% of the population will develop heart failure. Especially in the elderly, it was found to be 10% higher and 1 in 5 people had a chance. heart failure While in Thailand, data from hospitals under the Ministry of Public Health found that there are 20 patients hospitalized with heart failure per 100,000 population, and more than 50% of patients diagnosed with heart failure. death within 5 years
“The cause of heart failure is heart function deterioration. It is the reason that it is most common in older people, with more than 50% of the causes being caused by coronary artery disease and the other 50% due to other causes such as genetics, heart infections, heart valve disease, etc., including high blood pressure, diabetes, kidney disease, and diabetes. family Associated with behavior such as lack of exercise. Consumption of sugary, salty foods, excessive alcohol consumption, and obesity are all among the chronic non-communicable diseases (NCDs) leading to heart failure. coronary arteries”
heart failure treatment
However, heart failure treatable In foreign countries, it was found that patients with heart failure With proper care, about 30% of symptoms will improve to complete resolution, about 1/3 do not worsen, remain stable, and 1/3 worse.
Dr. Ekarat went on to say that In the past, heart failure There is a chance of death as high as 50% within 5 years, meaning that 10 patients 5 years after diagnosis will die 5 people at the same time new knowledge. patient self care proper medication intake or modern treatment, such as inserting a pacemaker including new diagnoses It can help reduce the death rate.
“The best form of care for patients with heart failure is the establishment of a heart failure clinic. Currently, there are hospitals in major cities and medical schools. When looking at tools, medicines and technology, Thailand has it all. From inception to heart transplantation and in the future will have to expand further to all regions To be able to better treat heart failure patients, while a certified heart failure specialist In the United States it first happened in 2014.”
While in Thailand, although there is no course or certificate that says this doctor is a specialist in heart failure. But this knowledge is taught to cardiologists, so we still have a shortage of heart failure specialists. A cardiologist can treat it. But if heavier until the last stage Should be sent under the care of a heart failure physician. which is currently in medical schools and hospitals in major cities
Thailand changes hearts 30 people a year
At present, about 30 heart transplant patients are found per year. For heart transplant patients, those who do not respond to medication or pacemakers. These patients tend to have a lot of symptoms. Tired of doing anything More than 2 hospitalizations in 6 months, these translate to 50% mortality in 1 year, when severe symptoms begin to evaluate for heart transplantation.
However, due to heart transplantation as a treatment, there are limitations. Therefore, there are indications for organ transplantation. The first is the age that is older than 65-70 years in Thailand, it is not recommended. In order to prevent the recipient’s body from harming the acquired heart, but the reverse effect is causing more infections There are more chances of getting cancer, so patients with sepsis or cancer cannot be transplanted.
including patients with other diseases overlapping with heart disease that will cause poor quality of life, such as cirrhosis, dialysis, cannot be transplanted And patients who are unable to take care of themselves, such as not taking all the medicines or drinking alcohol or smoking, are considered patients who do not pass the assessment. which the patient mentioned failure to pass assessment must see which ones can be cured, such as infected patients If the infection can be treated, it can eventually lead to heart replacement.
current diagnosis
For most patients with heart failure, if they take care of themselves properly. able to control no heart transplant needed It is said that there are a small number of patients whose symptoms are so severe that they require a heart transplant. Therefore, the key is diagnosis.
Dr. Ekarat said that since the past Diagnosis begins with a medical history taking. physical examination for abnormalities If in doubt, a heart ultrasound or Echocardiogram is required. which is not easily accessible in Thailand must be performed by a cardiologist And other provinces may have to wait in line for 3-4 months. At present, there is a test for NT-proBNP, which is a blood protein test. Can be easily measured in blood collection, which can be done by laboratories in Bangkok and other provinces, helping screening risk groups, making diagnoses, allowing doctors to decide on medication adjustments However, in practice, NT-proBNP has been suggested in clinical practice that it should be examined in patients with suspected or at risk of heart failure, such as diabetes, a history of coronary artery disease. People who have received cancer treatment, etc.
In this regard, the innovation of blood protein detection to diagnose such heart failure It helps clinicians to treat them more efficiently and effectively. The NT-proBNP determination plays an important role in the management of heart failure. And it can reduce the length of hospital stay by 12%, reduce direct medical costs by 10%, and reduce the rate of sudden hospitalization by 50%.
How to take care of yourself when heart failure
heart failure patients Have to come back to hospital often in old patients. In the past, Chulalongkorn Hospital Research has been found. Some people hospitalized with heart failure die in the hospital, and more than 1 in 5 discharges from the hospital. Re-entry to the hospital within 30 days
Causes of returning home that have not received the best treatment, for example, the patient may still have overhydration before returning home. Next is the continuation of care after returning home. It is recommended that patients return to their doctor within 7 days after returning home, close monitoring after returning home is important, and providing new drug therapy. Can reduce the rate of hospitalization, so these drugs should be started before the patient returns home. and adjusting medications hurriedly and concisely to prevent re-hospitalization
Dr. Ekarat recommends self-care of patients that Patients must know that this disease is a disease of the water pump that pumps blood to different parts. of the body is not enough And asked to start adjusting the lifestyle that Chulalongkorn Hospital will use the abbreviation ‘3 o’clock 1 baht’, namely
1. Tired, panting
2. Can’t lie down Every time I lie down because my lungs are flooded
3. gain weight
and 1. B is swollen, must observe yourself
“As for the practice, patients are asked to eat not too much salt and water, i.e. no more than 2 grams of salt and no more than 2 liters of water per day, and weigh them every day to check for excess water. This includes visiting a regular doctor, taking all your medications, not drinking and smoking. You can exercise normally. It is recommended that exercise will help you get better. It is the practice and observation of the patient’s symptoms.”
2023-08-02 01:45:00
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