Long Term Prognosis for Patients With Congestive Heart or Cardiac Failure

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Last Updated on Dec 13, 2019
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Long term prognosis for patients with congestive heart or cardiac failure

Periods of stability may alternate with episodes of exacerbations. The New York Heart Association has classified patients with heart failure into NYHA classes.

Congestive heart failure is generally a progressive disease. The course of the disease varies with each individual. Factors that affect the Long term prognosis for patients with congestive heart failure include:

  • The nature of the heart disease
  • Response to drugs
  • The degree of involvement of other organ systems are involved
  • Severity of accompanying conditions
  • The person's clinical condition and degree of impairment
  • Other lesser known factors also play their role

With the availability of newer drugs, prognosis has significantly improved.

The New York Heart Association has classified patients with heart failure into the following classes:

  • NYHA class 1: patients with a dampened heart but without limitation or symptoms
  • NYHA class 2: only limitation at harder workloads.
  • NYHA class 3: limitation at everyday activity.
  • NYHA class 4: severe symptoms even at rest; even on the slightest effort.

References:

  1. Cecil Medicine, 23rd Ed.
  2. Harrison''s PRINCIPLES OF INTERNAL MEDICINE, 17TH Edition
  3. Amsterdam EA. Revised American College of Cardiology/American Heart Association guidelines for the management of heart failure. Prev Cardiol. 2005 Fall;8(4):254, 256.
  4. Heart Failure Society Of America. Evaluation and management of patients with acute decompensated heart failure. J Card Fail. 2006 Feb;12(1):e86-e103. Review.

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Congestive heart failure can affect many organs. For example: The weakened heart muscle may not be able to deliver enough blood to the kidneys, which in turn begin to lose their normal ability to excrete salt and water. This can cause decreased kidney function in the body to retain more fluid. The lungs can become clogged with fluid and the ability of the person to take down. The fluid can also accumulate in the liver, which hinders their ability to rid the body of toxins and produce essential proteins. The intestines can become less efficient in absorbing nutrients and drugs. The fluid can also accumulate in the extremities, causing swelling of the ankles and feet. http://www.insideheart.com

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