心衰临床基础教学课件.ppt

* Under normal circumstances, the heart accepts blood at low filling pressures during diastole and then propels it forward at higher pressures during systole. A variety of disorders can impair the ability of the heart to meet the metabolic demands of the body. Heart failure (HF) can be defined as a complex clinical syndrome resulting from any structural or functional cardiac disorder that impairs the ability of the ventricle to fill with (diastolic HF) or eject blood (Systolic HF). It is a clinical diagnosis only since there is no diagnostic test for heart failure. The goal of HF therapy is to prevent ventricular remodeling or reverse ventricular remodeling. Today, substantial healthcare resources are used to treat heart failure patients, yet heart failure patients continue to have a poor quality of life and an unacceptably high mortality rate. * Under normal circumstances, the heart accepts blood at low filling pressures during diastole and then propels it forward at higher pressures during systole. A variety of disorders can impair the ability of the heart to meet the metabolic demands of the body. Heart failure (HF) can be defined as a complex clinical syndrome resulting from any structural or functional cardiac disorder that impairs the ability of the ventricle to fill with (diastolic HF) or eject blood (Systolic HF). It is a clinical diagnosis only since there is no diagnostic test for heart failure. The goal of HF therapy is to prevent ventricular remodeling or reverse ventricular remodeling. Today, substantial healthcare resources are used to treat heart failure patients, yet heart failure patients continue to have a poor quality of life and an unacceptably high mortality rate. 右心室衰竭的临床症状：身体水肿、肝肿大、腹部水肿、夜尿增多 左心室衰竭的临床症状：呼吸困难、端坐呼吸、咳粉红色泡沫痰、记忆力减退 * 气短；下肢水肿；活动乏力；夜间不能平卧；腹部水肿、食欲下降；干咳；夜尿增多；记忆减退 右心室衰竭的临床症状：下肢水肿、肝肿大、腹部水肿、夜尿增多 左心室衰竭的临床症状：呼吸困难、端坐呼吸、咳粉红色泡沫痰、记忆力减退 * Make sure all students understand the NYHA classes and that this classification is very subjective and c