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  • Ferlin Husky (1925 - 2011)
    Find a Grave Birth: Dec. 3, 1925 Cantwell St. Francois County Missouri, USA Death: Mar. 17, 2011 Westmoreland Sumner County Tennessee, USA Country Musician, Actor. Born Ferlin Eugene Husky, he ...
  • Pvt (CSA) Peter Franklin Seldomridge (1839 - 1919)
    P. F. Seldomridge died suddenly at his home at Forest Hill, Wednesday, March 12, 1919, of heart failure, aged about 76 years. The word comes that Mr. Seldomridge had been at work in the forenoon and ca...
  • Joe Shuster (1914 - 1992)
    Joseph "Joe" Shuster (July 10, 1914 - July 30, 1992) was a Canadian comic book artist. He was best known for co-creating the DC Comics character Superman, with writer Jerry Siegel, first published in A...
  • Gregor Mendel (1822 - 1884)
    Gregor Johann Mendel (Czech: Řehoř Jan Mendel; 20 July 1822 – 6 January 1884) (English /ˈmɛndəl/) was a scientist, Augustinian friar and abbot of St. Thomas' Abbey in Brno, Margraviate of Moravia. Me...
  • Pvt. (USA) Nathan Aaron Ellis (1842 - 1909)
    Civil War Veteran Affiliation: Union Rank: Pvt. Co.: D Regt.: 79th Ohio Branch: Infantry 79th Ohio Infantry From Wikipedia, the free encyclopedia Union Army during the American Civil War....

Heart failure


Heart failure (HF), often referred to as chronic heart failure (CHF), occurs when the heart is unable to pump sufficiently to maintain blood flow to meet the body's needs. The terms congestive heart failure (CHF) or congestive cardiac failure (CCF) are often used interchangeably with chronic heart failure. Signs and symptoms commonly include shortness of breath, excessive tiredness, and leg swelling. The shortness of breath is usually worse with exercise, while lying down, and may wake the person at night. A limited ability to exercise is also a common feature.

Common causes of heart failure include coronary artery disease including a previous myocardial infarction (heart attack), high blood pressure, atrial fibrillation, valvular heart disease, excess alcohol use, infection, and cardiomyopathy of an unknown cause. These cause heart failure by changing either the structure or the functioning of the heart. There are two main types of heart failure: heart failure due to left ventricular dysfunction and heart failure with normal ejection fraction depending on if the ability of the left ventricle to contract is affected, or the heart's ability to relax. The severity of disease is usually graded by the degree of problems with exercise. Heart failure is not the same as myocardial infarction (in which part of the heart muscle dies) or cardiac arrest (in which blood flow stops altogether). Other diseases that may have symptoms similar to heart failure include obesity, kidney failure, liver problems, anemia and thyroid disease.

The condition is diagnosed based on the history of the symptoms and a physical examination with confirmation by echocardiography. Blood tests, electrocardiography, and chest radiography may be useful to determine the underlying cause. Treatment depends on the severity and cause of the disease. In people with chronic stable mild heart failure, treatment commonly consists of lifestyle modifications such as stopping smoking, physical exercise, and dietary changes, as well as medications. In those with heart failure due to left ventricular dysfunction, angiotensin converting enzyme inhibitors or angiotensin receptor blockers along with beta blockers are recommended. For those with severe disease, aldosterone antagonists, or hydralazine plus a nitrate may be used. Diuretics are useful for preventing fluid retention. Sometimes, depending on the cause, an implanted device such as a pacemaker or an implantable cardiac defibrillator may be recommended. In some moderate or severe cases cardiac resynchronization therapy (CRT) may be suggested or cardiac contractility modulation may be of benefit. A ventricular assist device or occasionally a heart transplant may be recommended in those with severe disease despite all other measures.

Heart failure is a common, costly, and potentially fatal condition. In developed countries, around 2% of adults have heart failure and in those over the age of 65, this increases to 6–10%. In the year after diagnosis the risk of death is about 35% after which it decreases to below 10% each year. This is similar to the risks with a number of types of cancer. In the United Kingdom the disease is the reason for 5% of emergency hospital admissions. Heart failure has been known since ancient times with the Ebers papyrus commenting on it around 1550 BCE.


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