Is the heart rate fast or slow in heart failure?

Written by Wang Li Bing
Intensive Care Medicine Department
Updated on September 20, 2024
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Heart failure is also relatively common in clinical practice, primarily due to dysfunction in the heart's contractile or relaxation capabilities. This leads to ineffective expulsion of venous blood returning to the heart, resulting in venous congestion and a series of symptoms. Patients typically experience varying degrees of breathing difficulty, coughing, expectoration, coughing up pink frothy sputum, as well as gastrointestinal symptoms. Following the onset of heart failure, a patient's heart rate generally increases as a compensatory response to promote increased cardiac output. If a patient enters the terminal stage of heart failure, a decrease in heart rate may occur, and can even lead to death.

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Written by Zhang Yue Mei
Cardiology
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Can people with heart failure eat fish?

Patients with heart failure can eat fish, as fish contains a large amount of high-quality protein, vitamin B, trace elements, and minerals. Consuming fish can increase the high-quality protein the body needs, enhance the body's immunity and disease resistance. Especially for patients with heart failure, who suffer from chronic myocardial ischemia, need nutritional support. When preparing fish, it should not be made too salty, as patients with heart failure should follow a low-salt diet. If the fish is too salty, consuming it in excess could exacerbate heart failure. Preparing fish in a lighter way, such as making fish soup, can not only supplement the body's high-quality protein but also be easier to digest.

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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 Wang Li Bing
Intensive Care Medicine Department
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Acute heart failure typical symptoms

The typical symptoms of acute heart failure include sudden severe difficulty breathing, increased respiratory rate, and patients generally presenting a forced sitting position, with pale, grayish complexion and cyanotic lips. They often have profuse sweating, restlessness, frequent coughing, and coughing up pink frothy sputum. The condition can be critical, leading to consciousness disturbances due to lack of oxygen. Once acute heart failure occurs, active treatment is essential. The most common clinical approaches include strengthening the heart, diuresis, and vasodilation for symptomatic active management.

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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 Wang Li Bing
Intensive Care Medicine Department
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How is acute heart failure treated?

Acute heart failure presents with significant respiratory distress and symptoms of hypoxia. Immediate intervention is necessary to alleviate breathing difficulties. Clinically, the following measures are generally adopted: First, position the patient to sit up with legs dangling to decrease venous return to the heart. Second, administer high-flow oxygen through a nasal cannula, and if necessary, proceed with endotracheal intubation and ventilator support. Third, administer morphine subcutaneously or intravenously to reduce agitation and myocardial oxygen demand. Fourth, use rapid diuretics, such as furosemide. Fifth, utilize vasodilators such as nitroglycerin or nitroprusside. Sixth, use positive inotropic agents such as dopamine or dobutamine as appropriate. Seventh, employ digitalis drugs, but avoid use in acute myocardial infarction within the first 24 hours. Eighth, consider using an intra-aortic balloon pump or other cardiopulmonary support systems, etc., and after stabilization of acute heart failure, further treat the underlying cause, etc. (Use medications under the guidance of a doctor.)