Clinical aspects in chronic heart failure
Keywords:
clinical manifestations, chronic heart failureAbstract
The majority of patients with chronic heart failure (CHF) were placed in 60-74 years age range (50,2%), divided almost equally regarding their gender. The main etiological factors in CHF were: ischemic cardiomyopathy, hypertension and diabetes mellitus type 2, diagnosed to 95,8%, 93,8% and 23% of patients respectively. Categorizing the patients according to NYHA classification, gradings I, II, II, IV, was established that, 0% were included in grade I; 4,6% in grade II; 70,7% - grade III and 26,1% in grade IV respectively. Symptoms related to left ventricular failure (LVF) were: dyspnea (100%) varying in severity; fatigue presented to 46,1% of patients; cyanosis(16,9%); basal crackles (26,1%). Right ventricular failure symptom (RVF) were gastrointestinal manifestations (15,3%); peripheral edema (60%); acrocyanosis (7,6%). CHF symptomatology is broad and it is characterized by the failure of one or both ventricles. Usually, the symptoms progress from the left ventricle (LV) to the right ventricle (RV).
References
1. Botnaru V. Bolile Cardiovasculare. Ediție revizuită. Chișinău, Ed. "Tipografia Centrală", 2008, 524 p.
2. Cătălina A., Avram A-G., Axente L. și coaut. Curs de cardiologie, an IV. Editura "Carol Davila" București. 2016. 511 p.
3. Protocol clinic național. Insuficiența cardiacă acută și cronică la adult. Chișinău, 2017, 72 p.
4. Ralston S., Penman I., Strachan M., Hobson R. Davidson's Principles and Practice of Medicine, 23rd Edition, 2016, 1440 p. ISBN-13: 978-0702070280.
5. Stouffer G., Runge M., Patterson C., Rossi J. Netter's Cardiology 3rd edition, 2016, 576 p. ISBN: 978-0-323-54726-0.
6. Guha K, McDonagh T. Heart failure epidemiology: European perspective. Curr Cardiol Rev. 2013 May;9(2):123-7. PMID: 23597298; PMCID: PMC3682396. https://doi.org/10.2174/1573403X11309020005
7. Buja A, Solinas G, Visca M, Federico B, Gini R, Baldo V, Francesconi P, Sartor G, Bellentani M, Damiani G. Prevalence of Heart Failure and Adherence to Process Indicators: Which Socio-Demographic Determinants are Involved? Int J Environ Res Public Health. 2016 Feb 19;13(2):238. PMID: 26907316; PMCID: PMC4772258. https://doi.org/10.3390/ijerph13020238
8. Ordinul MSMPS nr.12/70 din 27.01.2012 Cu privire la aprobarea criteriilor de determinare a desabilității la persoanele adulte. https://www.ms.gov.md/sites/default/files/legislatie/fdd.pdf
Downloads
Published
Issue
Section
License
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
