Академический Документы
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Alexis J. A. CoCo
12-07-03
A & P II
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Congestive Heart Failure, or CHF, is a condition in which the heart can not
pump enough blood to the body’s other organs. (2) This can be caused by the
following: scar tissue from a previous heart attack that interferes with the heart’s
normal work, high blood pressure, heart valve disease, cardiomyopathy, a heart
(2) Another definition of congestive heart failure is when the heart is unable to
adequately pump blood throughout the body and/or unable to prevent blood from
“backing up” into the lungs. (1) This condition may cause symptoms such as
dyspnea, fatigue, weakness, edema of the legs and sometimes abdomen. (1) At
one point in time congestive heart failure was an almost untreatable disorder.
Luckily today there are lots of important and effective measures that can be
utilized to improve symptoms and the survival of the patients with CHF. (5)
When you hear the term heart failure it would seem as if the heart just
quits working all together. This is not the case, it does not stop working
completely, it just does not work enough to deliver all of the oxygen – rich blood
the body needs. (3) As the heart’s ability to pump weakens , it can not distribute
enough blood to meet the needs of the body. (3) With an increased stress on the
heart muscle, its ability to contract is reduced and cardiac output declines. (3)
Blood flow into the ventricles pretty much remains the same. Without the ability
to eject normal amounts of blood, the ventricles begin to accumulate blood. (3) As
the amount of blood in the ventricles increases, the heart makes both short and
long term adaptations. (3) Blood accumulation in the ventricles causes ventricular
muscle fibers to increase in length at the end of the diastole. (3) As end-diastolic
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fiber length increases, the muscles respond by dilating and increasing force of
occurs. (3) The myocardium enlarges, increasing the heart’s ability to push blood
into circulation. (3) Ventricular hypertrophy can adequately compensate for heart
failure for a little while, but eventually the heart weakens and acute failure
ensues. (3) The underlying heart conditions that commonly cause congestive
heart failure, such as coronary artery disease or high blood pressure, typically
develop slowly over many years. (3) The most severe manifestation of CHF,
pulmonary edema, develops when the imbalance causes an increase in lung fluid
secondary to leakage from pulmonary capillaries into the interstitium and alveoli
There are many ways to classify CHF there is right or left sided heart
failure, forward or backward heart failure and acute or chronic heart failure. (3)
Right sided heart failure is when the ability of the right ventricle to contract is
impaired or ineffective. (3) Left sided failure occurs most often and results from
profound backflow of the blood into the left ventricle. (3) Forward heart failure is
the left ventricle fails to empty completely. (3) Acute heart failure is when the
signs and symptoms are new and compensatory mechanisms such as natural
diuresis have not engaged yet. Chronic heart failure describes a condition where
signs and symptoms have been present for an extended period and
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In this case study it said that congestive heart failure is
characterized by the inability of the heart to meet the demands of the body. (4)
Nearly five million Americans are living with CHF and approximately one-half of
the people with heart failure will die with in 5 years of diagnosis. (4) During the
the heart. (4) As the heart deteriorates, native compensatory mechanisms attempt
to adjust the declining efficiency of the heart. (4) Eventually , drugs become less
effective as the heart continues to deteriorate and enlarge. (4) Additionally, drugs
used in later stages of heart failure come with serious side effects. (4) Treatment
for late-stage heart failure include surgical procedures and invasive medical
devices. (4) Currently the most effective alternative for severe CHF is a new heart;
there are no fully effective treatments for this widespread disease. (4)
associated with CHF. (4) The Orqis approach is unique in that, unlike heart assist
devices, it does not attempt to take over the function of the failing ventricles
instead, the system uses extra-corporeal blood circuit to assist the heart. (4)
believed that by mechanically unloading the distressed heart, the system leads to
geometric recovery of the heart itself. (4) The Cancion CRS will begin clinical
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Orqis Medical’s Cancion™ CRS requires disposable cannulae for vascular
access, a blood pump, and a pump control and monitoring console. (4)
experience with the artificial heart and other blood pumps. (4) Minnetronix’s ability
to rapidly prototype the device for Orqis allowed them to meet rapidly
flow sensor, and the associated safety systems. (4) Significant effort went into an
the user interface with motor control, flow display, battery and pressure display,
power with one hour battery backup), Integrated flow and pressure sensors
analysis including Hazard and Failure Modes and Effective Analysis, and
complied technical data files including environmental and regulatory testing. (4)
It has specially designed features such as: blood pump control expertise,
NiMh battery integration, Multiple language user interface design and a design
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In conclusion, congestive heart failure is a disease that effects millions of
Americans. There are many ways available to treat congestive heart failure like:
blockers and inotropic agents) and medical devices and surgery ( intra-aortic
balloon pump (IABP), left ventricular assist device (LVAD) and of course a heart
transplant surgery) None of these treatments can really guarantee a person will
live on for ten years but the heart transplant surgery has a 90% outcome of the
patients being a live one year later, the five year survival rate is also very
treat congestive heart failure. It will help the heart to circulate and potentially
reverse the negative feedback that come a along with congestive heart failure.
Unlike most artificial devices this will not take over the function of the failing
ventricles but become a great aide to geometric recovery of the heart itself. (4)
Recovery of the heart is key because with out it our body can not survive and
therefore we would die. I know that I would much rather have a device to help
my heart start to recover than to have to get it replaced with someone else’s
heart. The best way in my opinion to treat congestive heart failure is with early
detection and you do that by regularly going to your doctor. As stated in this
paper late treatment can have serious side effects and with early detection you
can begin to change your habits to help take the burden off of your heart.
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Works Cited
1. www.cardiologycahnnel.com/chf/
2. www.americanheart.org/presenter.jhtml?identifer=4585
3. www.acc.org/media/patient/chd/chf.htm
4. www.minnetronix.com/case_studies/orqis.shtml>
5. www.heartpoint.com/congheartfailure.html