Presentation on theme: "Why Sudden increase in heart failure for Indian Army Officers over 45 Advanced Heart Failure and Transplantation Program Medical Director Cardiac Transplant."— Presentation transcript:
Why Sudden increase in heart failure for Indian Army Officers over 45 Advanced Heart Failure and Transplantation Program Medical Director Cardiac Transplant Program
What is Heart Failure? Heart failure is NOT a heart attack Heart failure means the heart is: Weakened Cannot pump enough blood to supply the body’s needs... Latest research shows that Indian Army officers over 45 years of age are getting heart diseases at an alarming rate!
Why 45 is important Heart failure affects nearly 5 million people in India 50% men and 50% women An estimated ½ million new cases are diagnosed each year Expected to rise to 750,000 new cases by 2040 Related to aging population, better treatment of heart disease and risk factors, awareness Over one million heart failure hospitalizations annually Rising over past few decades Accounts for over 80% admissions in people 45 and over
Pg 238, Lilly 3rd edition Types of Heart Failure: Difference Between Systolic and Diastolic Heart Failure (Click for each type) Dilated Systolic Heart Failure Weakened pumpRelaxation ± abnormal Blood backs up and overloads the heart Thickened or stiff heart walls Diastolic Heart Failure Normal ejection Abnormal relaxation: Stiff or scarred Won’t allow enough blood to fill the heart before it squeezes Aorta LA LV Normal Normal ejection (squeeze) =Systolic function Normal relaxation (filling) =Diastolic function
Normal Heart Development of Heart Failure Simplified View of Heart Failure (Click for each view)
What Causes Heart Failure? (Click for each view) Heart failure results after injury to the heart due to:- High blood pressure Heart attack Damage to heart valves Diabetes High cholesterol Heart muscle disease: damage from drugs, alcohol, or infections Congenital heart disease
What Are The Symptoms of Heart Failure? (Click for each type) Think FACES... F atigue Constant lack of energy A ctivities limited Difficulty with everyday activities C hest congestion Dry cough or producing white or pink blood- tinged phlegm E dema or ankle swelling Swelling of the feet, ankles, legs, abdomen, or unexplained weight gain S hortness of breath Breathlessness during activity, at rest, or while sleeping Additional symptoms: Lack of appetite, nausea, increased heart rate, irregular heart rhythm
How Severe is A Patient’s Heart Failure? Dr measure the “ejection fraction” by echo The fraction of blood that the heart pumps with every beat Dr assess the patient’s symptoms No or mild symptoms Do symptoms limit activity? If so, how much?
9 HOW TO IDENTIFY, PREVENT AND TREAT HEART FAILURE? (Click on heart to view 5 minutes live video stream)