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Home > West Medicine > Internal Medicine > Cardiology
I50.900

Heart Failure

心内科

Common symptoms

胸痛伴胸闷、心悸、湿罗音、心率增快、胸闷憋气、心慌气短、烦躁不安、心力贮备减少、粉红色泡沫痰

The pathology of disease

Heart failure is a clinical syndrome of ventricular dysfunction causing pulmonary/systemic congestion and reduced exercise tolerance, classified as HFrEF (EF<40%), HFmrEF (40-49%), or HFpEF (>=50%). Clinical: dyspnea, orthopnea, edema, fatigue. Treatment: GDMT (ACEi/ARNI, beta-blocker, MRA, SGLT2i for HFrEF); diuretics for congestion; treat underlying cause (ischemia/HTN/valve/diabetes); device therapy (CRT/ICD); cardiac rehab; transplant/LVAD for end-stage.

Common Symptoms

Dyspnea/orthopnea; edema; fatigue; by HFrEF/HFmrEF/HFpEF

Causes and Pathogenesis

Myocardial injury/structural disease causes ventricular dysfunction and congestion.

Treatment

GDMT; diuretics; treat cause; CRT/ICD; rehab; transplant/LVAD

Preventive Measures

Treat HTN/ischemia/diabetes; GDMT adherence; lifestyle modification.

Department to Visit

It is recommended to visit the Cardiology/Heart-failure department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.