Where to massage for heart failure?

Written by Zhang Shu Kun
Traditional Chinese Medicine
Updated on September 07, 2024
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Patients with heart failure cannot be effectively treated by massage alone; it merely serves to alleviate symptoms. It is recommended to take medication for treatment purposes. However, massaging certain acupoints can be beneficial. Massaging the Neiguan point can significantly reduce symptoms of chest tightness and pain, and also alleviate fainting. Regularly massaging the Jiuwei point, also known as the Jianjing point, can effectively relieve angina caused by heart disease.

Other Voices

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Written by Wang Li Bing
Intensive Care Medicine Department
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Clinical manifestations of chronic heart failure

Chronic heart failure primarily includes left heart failure, right heart failure, and total heart failure. Clinically, left heart failure is the most common. The clinical manifestations of left heart failure primarily involve pulmonary congestion and reduced cardiac output, which can present as varying degrees of dyspnea, such as exertional dyspnea, orthopnea, and paroxysmal nocturnal dyspnea. Patients may experience coughing, expectoration, pink frothy sputum, fatigue, tiredness, dizziness, palpitations, and more. Right heart failure primarily manifests as gastrointestinal and liver congestion, causing abdominal distension, poor appetite, nausea, vomiting, and more. Total heart failure naturally includes the clinical manifestations of both left and right heart failure.

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Written by Zhou Yan
Geriatrics
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Causes of acute heart failure

Acute heart failure refers to the acute onset of heart failure or an exacerbated clinical syndrome, which can present as either newly developed acute or acute decompensation of chronic heart failure. Clinically, it is commonly divided into two main categories. One category is acute left heart failure, often caused by acute decompensation of chronic heart failure, or by acute coronary syndrome, hypertensive emergencies, acute cardiac valvular dysfunction, severe myocarditis, serious arrhythmias, and peripartum cardiomyopathy. The other category is acute right heart failure, which can be caused by right ventricular infarction, acute large pulmonary embolism, and right-sided valvular heart disease.

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

Heart failure is very common in clinical settings. The main treatments include strengthening the heart, diuresis, and vasodilation for symptomatic treatment. A mask or high-flow oxygen can be used if the patient's heart failure symptoms are difficult to correct, or if cardiogenic shock occurs. Aortic balloon counterpulsation and tracheal intubation can be adopted, with ventilator support for ventilation, and blood dialysis and other symptomatic supportive treatments can be used. Another point is to actively control or eliminate the causes of heart failure, etc.

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Written by Liu Ying
Cardiology
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Can people with chronic heart failure smoke?

Patients with chronic heart failure should not smoke, as smoking can enhance the excitability of the sympathetic nervous system. Increased excitability of the sympathetic nervous system releases norepinephrine, elevating norepinephrine levels. This can cause peripheral vasoconstriction, increase the afterload on the heart, and accelerate heart rate. Both of these effects can increase myocardial oxygen consumption. Furthermore, norepinephrine has a direct toxic effect on myocardial cells, promoting myocardial cell apoptosis and participating in the pathological process of ventricular remodeling. Moreover, excitement of the sympathetic nervous system can also enhance myocardial stress, potentially promoting the occurrence of arrhythmias. Therefore, patients with chronic heart failure should not smoke.

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Written by Zhang Yue Mei
Cardiology
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Treatment of Chronic Heart Failure

Chronic heart failure is a common and frequent disease in clinical practice, often caused by severe myocardial damage, which leads to insufficient myocardial contraction and results in inadequate peripheral blood supply. The primary principles of treatment are to reduce the heart's burden, enhance its contractile strength, decrease the heart's workload, and reduce the returning blood volume to alleviate the heart's burden. Treatment involves using vasodilators to decrease cardiac resistance, positive inotropic drugs to strengthen cardiac contraction, and diuretics and a low-salt diet to reduce cardiac volume and returning blood volume. By employing these methods, the symptoms of chronic heart failure can be improved.