[周刊王CTWANT] An 85-year-old man surnamed Xu from Hsinchu City, suffering from high blood pressure and diabetes, was found by his family to be short of breath, wheezing when speaking, and edema in his legs. He was rushed to the emergency department of Tung Won General Hospital. X-ray examination revealed pulmonary edema, and his heart failure index was also high. At the increase, echocardiography revealed left ventricular hypertrophy, a diagnosis of “normal systolic heart failure”.
Bu Shijun, director of TECO Cardiology Department/Cardiac Rhythm and Heart Failure Center, said that following Xu Weng was hospitalized for observation and drug treatment, his blood pressure was still high. In addition to adjusting blood pressure drugs, he was given injections of diuretics. After 4 days, he returned to stability and was discharged safely.
Bu Shijun pointed out that the mortality rate of heart failure is not inferior to that of cancer. Clinically, according to the systolic function of the heart, it can be roughly divided into “low systolic heart failure” and “normal systolic heart failure”, also known as diastolic heart failure. Due to the aging population in Taiwan and the rising number of multiple chronic patients, “normal systolic heart failure” has accounted for 30 to 50% of all heart failures.
Pu Shijun pointed out that heart failure is generally considered to be due to cardiac weakness or systolic weakness, but in patients with “normal systolic heart failure”, whether the systolic score is normal, or will lead to heart failure, it is mostly related to the patient’s original comorbidity. related to age.
Bu Shijun explained that the work of the left ventricle is responsible for pumping blood to the aorta. If the left ventricle is hypertrophic, it will affect the diastolic function, causing resistance to blood flow into the left atrium, increasing the pressure of the microvascular in the lungs, and thus people are prone to asthma.
To put it simply, heart failure can lead to insufficient oxygen supply and hypoxia to the organs. Therefore, patients often present with three major symptoms of “wheezing, tiredness, and swelling” such as shortness of breath. Due to edema of the lower limbs, the body weight may increase by 2 to 5 kg in a short period of time.
Bu Shijun pointed out that research on new drugs for the treatment of heart failure with normal systolic fraction has progressed in recent years, but the most important thing is to control blood pressure, blood sugar, and blood lipids. Patients with multiple chronic diseases such as obesity, three highs, chronic kidney disease, arrhythmia and atrial fibrillation must be It is necessary to cooperate with the doctor to take medicine on time to control it. If the symptoms of “wheezing, tired, and swollen” heart failure occur, seek medical treatment as soon as possible to grasp the golden treatment time.
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