HEART FAILURE

Umkal Hospital is one of the few hospitals in North India that has a dedicated Heart Failure clinic. Doctors at Umkal Hospital have the special expertise and infrastructure required to treat this very complex condition.

If you or your loved one has heart failure or weakness of the pumping ability of the heart muscle (less than 35%) then you should seek an opinion and treatment from a heart failure specialist at Umkal Hospital.

Patients in heart failure require close monitoring and some times even require intermittent inotropic infusions for remain stable.

Information about Heart Failure -

Heart failure is a condition in which the heart isn't pumping the way it should. The term "heart failure" may sound like the heart has stopped working, that isn't actually the case.

Certain conditions, such as narrowed arteries in the heart (coronary artery disease) or high blood pressure, gradually leave one’s heart too weak or stiff to fill and pump efficiently.

Heart failure can be chronic or your condition like that may start suddenly. To have early action one should know about the symptoms of it which are as following:

  • Shortness of breath when you lie down
  • Fatigue
  • Swelling in legs, ankles and feet
  • Irregular heartbeat
  • Persistent cough or wheezing
  • Frequent urination during night time
  • Sudden weight gains from fluid retention
  • Lack of appetite and nausea
  • Chest pain (if heart failure is caused by a heart attack)

These signs and symptoms may be due to heart failure or some of the other issues, including other life-threatening heart and lung conditions.

Causes of Heart Failure:

In heart failure, the main pumping chambers of the heart may become stiff and not fill properly between beats. In some cases of heart failure, the heart muscle gets damaged and weakened and the ventricles stretch (dilate) to the point that the heart can't pump blood efficiently throughout the body.

Type of heart failure:
  • Left-sided heart failure: Fluid may back up in your lungs, causing shortness of breath.
  • Right-sided heart failure: Fluid may back up into your abdomen, legs and feet, causing swelling.
  • Systolic heart failure: The left ventricle can't contract vigorously, indicating a pumping problem.
  • Diastolic heart failure: The left ventricle can't relax or fill fully, indicating a filling problem.
EJECTION FRACTION

Ejection fraction is a measurement of the percentage of blood leaving your heart each time it contracts. During each heartbeat pumping cycle, the heart contracts and relaxes. When the heart contracts, it ejects blood from the two pumping chambers and when the heart relaxes, the ventricles refill with blood. No matter how forceful the contraction, it never is able to pump all of the blood out of a ventricle. The term "ejection fraction" refers to the percentage of blood that's pumped out of a filled ventricle with each heartbeat.

The ejection fraction may decrease if
  • One has weakness in heart muscle, such as dilated cardiomyopathy, which can be caused by a heart muscle problem, familial (genetic) cardiomyopathy, or systemic illnesses
  • A heart attack has damaged heart
  • Problems in heart's valves
  • Uncontrolled high blood pressure