Acute on chronic diastolic (congestive) heart failure Save

Understanding Acute on Chronic Diastolic (Congestive) Heart Failure

Acute on chronic diastolic heart failure, also known as congestive heart failure, is a condition that affects the heart's ability to pump blood efficiently. It occurs when the heart muscle becomes stiff and is unable to relax properly during the filling phase, leading to fluid buildup in the lungs and other parts of the body.

Diastolic heart failure is characterized by the impaired ability of the heart's ventricles to relax and expand, hindering the filling of blood. When this condition worsens suddenly, it is referred to as acute on chronic diastolic heart failure.

Several factors contribute to the development of acute on chronic diastolic heart failure. Hypertension, or high blood pressure, is a common cause, as it leads to the thickening and stiffening of the heart muscle. Other underlying conditions, such as coronary artery disease, valvular heart disease, and diabetes, can also contribute to the onset of this condition.

1. Shortness of breath: Patients with acute on chronic diastolic heart failure often experience difficulty breathing, especially during physical exertion or while lying flat.
2. Fatigue: The reduced ability of the heart to pump blood efficiently can lead to fatigue and a lack of energy.
3. Swelling: Fluid retention in the body can cause swelling in the ankles, legs, and abdomen.
4. Increased heart rate: The heart may beat faster to compensate for its decreased pumping ability.

Diagnosing acute on chronic diastolic heart failure involves a thorough medical history review, physical examination, and diagnostic tests. These tests may include an electrocardiogram (ECG), echocardiogram, and blood tests to assess kidney and liver function.

While treatment options for acute on chronic diastolic heart failure primarily focus on managing symptoms and addressing underlying conditions, it's essential to consult a healthcare professional for personalized advice. Lifestyle modifications, such as maintaining a healthy weight, managing stress levels, and following a low-salt diet, can help improve heart health.

In conclusion, acute on chronic diastolic heart failure is a condition where the heart's ability to relax and fill with blood is impaired. Recognizing the symptoms and seeking appropriate medical care is crucial in managing this condition effectively.