Is acute heart failure dangerous?

Written by Wang Li Bing
Intensive Care Medicine Department
Updated on September 20, 2024
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Acute heart failure is very dangerous in clinical practice. It is mainly caused by a sudden decrease in cardiac output, leading to insufficient perfusion in tissues and organs and acute blood stasis syndrome. The main clinical symptoms include severe respiratory distress, often accompanied by restlessness, profuse sweating, frequent coughing with pink frothy sputum, and in severe cases, sudden cardiac and respiratory arrest can occur. After the occurrence of acute heart failure, effective measures should be taken to alleviate symptoms such as respiratory distress. The most effective methods in clinical practice include strengthening the heart, promoting diuresis, and dilating blood vessels.

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Written by Fan Yan Fu
Cardiology
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Why do we need to supplement potassium for heart failure?

Potassium ions are very important in the cardiac muscle cells, playing a critical role in maintaining the stability of the electrical activity of these cells. Thus, in conditions like heart failure or other cardiovascular diseases, it is essential to keep potassium levels within a certain range in order to reduce serious cardiac events. When potassium levels fall, cardiac electrical activity can become disordered, potentially leading to a sudden cardiac arrest. This is particularly the case in heart failure where the cardiac muscle cells are in a diseased state, making them more sensitive to low potassium levels. Thus, they are more prone to sudden cardiac arrest or sudden cardiac death. Therefore, for cardiovascular diseases, particularly heart failure, there is a high priority on supplementing potassium, generally increasing it to above 4.0 and even around 4.5 to be safe. Additionally, patients with heart failure often have poor diets, leading to lower potassium intake and consumption of potassium-rich foods, necessitating pharmacological potassium supplementation. Heart failure patients frequently use diuretics, which can lead to higher potassium loss, thus requiring additional potassium supplementation. For these reasons, potassium supplementation is particularly emphasized in patients with heart failure.

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Written by Wang Li Bing
Intensive Care Medicine Department
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Which department should I go to for heart failure?

Heart failure primarily includes left heart failure, right heart failure, and total heart failure. Patients should visit the cardiology outpatient clinic. Left heart failure mainly manifests as pulmonary congestion, which can cause varying degrees of breathing difficulty, coughing, expectoration of pink frothy sputum, palpitations, and fatigue. Right heart failure primarily appears as liver congestion and other symptoms related to the digestive system, such as nausea, vomiting, and gastrointestinal discomfort. Total heart failure includes symptoms of both left heart failure and right heart failure, and medical attention should be sought promptly after the onset of heart failure.

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Written by Zhou Yan
Geriatrics
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Can acute heart failure be cured?

Acute heart failure refers to the acute onset or exacerbation of a clinical syndrome of heart failure, manifested as either acute onset of new heart failure or acute worsening of chronic heart failure. The goal of treatment is to improve symptoms, stabilize hemodynamic status, protect vital organ functions, improve prognosis, and prevent recurrence. Because the ischemia and hypoxia during an acute heart failure episode, along with severe respiratory distress, are life-threatening, urgent intervention is required. However, whether it can be cured depends on the underlying disease. Since the underlying disease is already present, it cannot be completely cured, but clinical symptoms and prognosis can be improved.

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Written by Zhou Yan
Geriatrics
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Can acute heart failure be fatal?

The answer is affirmative. Acute heart failure is a very dangerous and serious clinical syndrome in cardiovascular diseases. Generally speaking, it is characterized by a significant decrease in the cardiac contractile function and an increased cardiac load, leading to a sharp drop in acute cardiac output, a sudden increase in pulmonary circulation pressure, and increased resistance in peripheral circulation. This results in acute pulmonary congestion and pulmonary edema and may be accompanied by insufficient perfusion of tissues and organs and a clinical syndrome of cardiogenic shock. Therefore, it can be fatal, and if not addressed promptly or adequately, it often has a high mortality rate.

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Written by Wang Li Bing
Intensive Care Medicine Department
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Causes of vomiting in heart failure

Heart failure in clinical practice can be divided into left heart failure, right heart failure, and total heart failure. The symptoms of left heart failure primarily manifest as pulmonary congestion, including varying degrees of dyspnea, cough, coughing up pink frothy sputum, palpitations, fatigue, etc. As for right heart failure, it mainly shows as gastrointestinal congestion, with symptoms such as nausea, vomiting, loss of appetite, etc. Once heart failure symptoms appear, the patient must seek medical attention promptly, actively treat the primary disease, correct the symptoms and signs of heart failure, and then avoid excessive physical activity, infections, and other triggers that could exacerbate heart failure.