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Why Sudden increase in heart failure for Indian Army Officers over 45 Advanced Heart Failure and Transplantation Program Medical Director Cardiac Transplant.

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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:

1 Why Sudden increase in heart failure for Indian Army Officers over 45 Advanced Heart Failure and Transplantation Program Medical Director Cardiac Transplant Program

2 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!

3 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

4 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

5 Normal Heart Development of Heart Failure Simplified View of Heart Failure (Click for each view)

6 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

7 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

8 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 9 HOW TO IDENTIFY, PREVENT AND TREAT HEART FAILURE? (Click on heart to view 5 minutes live video stream)


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