Heart Failure

Authors

Affiliations

Nate Yomogida, B.S., SPT

Doctor of Physical Therapy

B.S. in Kinesiology

Chloë Kerstein, B.S., SPT

Doctor of Physical Therapy

B.A. in Neuroscience

Types

• Left-sided heart failure
• Right-sided HF
• High-output failure
• Low-output failure
• Systolic dysfunction
• Diastolic dysfunction

Left-sided heart failure

• Failure of left ventricle, back flow into lungsž

Right-sided HF

• Failure of right side of heart, back flow into systemic venous system

High-output failure

• Severe renal dysfunction
• Kidneys cant filter, heart cant keep up
• Secondary to renal system failure to filter

Low-output failure

• Heart cannot pump minimum amount to support circulation

Systolic dysfunction

• Problem with systole or strength of contraction

Diastolic dysfunction

• Problem with diastole or ability of ventricle to allow filling

Congestive Heart failure

Signs of CHF

• Cold, pale, possibly cyanotic extremities
• Weight gain- heart fialure that is progressing, more fluid in system
• Peripheral edema
• Jugular venous distention
• Crackles (rales)
• Sinus tachycardia
• Decreased exercise tolerance

Symptoms of CHF:

• Dyspnea
• Tachypnea
• Paroxysmal nocturnal dyspnea
• Severe SOB that wakes them from sleep
  
• Orthopnea
• Lying flat = SOB
• Cough
• Fatigue