Congestive Heart Failure
Congestive Heart Failure or CHF is a condition where there is weakening in the pumping action of the heart due to fluid buildup in the body. This medical condition develops over a period of time and leads to enlargement of the heart. Persons suffering from coronary disease or arrhythmia are more at risk for CHF. Persons suffering from hypertension and heart valve disease are more susceptible to congestive heart failure. If you have suffered a heart attack or congenital heart defect, you are more likely to be prone to CHF. Congestive heart failure is characterized by backing up of the blood from both one or both the lower chambers of the heart.
Symptoms of Congestive heart failure include shortness of breath and weakness. A person suffering from CHF may notice weight gain on account of body fluid accumulation. The fluid buildup leads to frequent urination. Chest pain, irregular pulse and restlessness are other symptoms of CHF. Decreased alertness and inability to pursue exercise are signs of congestive heart failure. Diagnostic tests such as chest x-rays and ECG can aid in detecting any stress on the heart. During a physical examination, a doctor can detect fluid buildup in the chest. Imaging tests such as angiography and nuclear ventriculorgraphy help in clear diagnosis of the heart's pumping condition. EKG and echocardiogram aids in detecting any possible heart enlargement and fluid buildup. Blood tests can indicate any kidney or thyroid malfunction that may affect heart's functioning.
Medications for congestive heart failure include ACE inhibitors that keep the blood vessels open and inotropics to strengthen the heart's pumping capacity. Diuretics may be prescribed to get rid of excess body fluids. Vasodilators and Calcium channel blockers open up narrowed blood vessels. Angioplasty is done to open up narrowed arteries. This is resorted to in cases where there is fatty plaque buildup. Lifestyle changes can go a long way in keeping CHF at bay. These include quitting smoking and controlling diabetes, cholesterol and high blood pressure. Control alcohol consumption and embark on a fitness regimen that includes aerobic exercise.
ESR blood test
ESR (erythrocyte sedimentation rate) blood test is used to measure the distance that RBCs settle in unclotted blood. Blood sample is monitored for an hour in a specially-marked test tube. The levels of ESR indicate any inflammatory or malignant disease. This test is often used to diagnose rheumatologic ailments, tuberculois or tissue necrosis. Elevated levels of blood ESR may be indicative of rheumatoid arthritis, thyroid disease, kidney disease, syphilis or tuberculosis. Pregnancy, infection and old age can bring about elevated levels of blood ESR. Extremely low levels of ESR may suggest sickle cell anemia, hypofibrinogenemia, CHF or hyperviscocity. ESR is a non-specific inflammation marker and may need to be supported with other diagnostic tests for medical decisions. ESR blood test is often suggested along with CRP blood test to check for arthritis since they both check for proteins associated with inflammation.
Chest x ray
Chest x-ray is a regular diagnostic test that throws light on the condition of the lungs, heart and chest wall. Chest x-ray reveals possible lung cancer, emphysema, heart failure and pnemonia. Heart irregularities and CHF may be visible on a chest x-ray. Any pleural effusions may be detected through a chest x-ray. The patient must wear loose fitting gown and remove any metal objects from clothing. In most cases, chest x-ray of frontal or posteroanterior view is taken. The patient has to take a deep breath so as to ensure a good quality chest x-ray image. There is no discomfort. Pregnant women must not undergo chest x-ray. But some conditions may not be easily diagnosed with a chest xray, such as pulmonary embolism or some cancers. In such cases, CT scan of chest is used for further clarification. Abnormal findings on chest xrays can range from pnemonia and tuberculosis to lung tumor or collapsed lung. Osteoporosis or fracture of ribs or spine can be detected.
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