Acute on chronic right heart failure Save

Understanding Acute on Chronic Right Heart Failure

Acute on chronic right heart failure is a medical condition that results from the inability of the right side of the heart to pump blood effectively to the lungs and the rest of the body. This condition occurs when the heart has been struggling with chronic heart failure for a long time, and then suddenly experiences an acute episode that worsens the condition.

There are several causes of acute on chronic right heart failure, including pulmonary embolism, acute respiratory distress syndrome (ARDS), pneumonia, and sepsis. Patients with chronic heart failure are also at risk of developing this condition if they experience a sudden increase in the workload of the heart.

Acute on chronic right heart failure is characterized by symptoms such as shortness of breath, fatigue, chest pain, and swelling in the feet, ankles, and legs. These symptoms can be severe and require immediate medical attention.

1. Shortness of breath: Patients with acute on chronic right heart failure may experience difficulty breathing, especially during physical activity or when lying flat.
2. Fatigue: Patients may feel tired and weak due to the reduced oxygen supply to the body.
3. Chest pain: Patients may experience chest pain or discomfort due to the increased pressure in the lungs and the heart.
4. Swelling: Patients may develop swelling in the feet, ankles, and legs due to fluid retention caused by the heart's inability to pump blood effectively.

Diagnosis of acute on chronic right heart failure involves a physical examination, medical history, and various tests such as chest X-ray, electrocardiogram (ECG), echocardiogram, and blood tests. Treatment for this condition may involve medications, oxygen therapy, and lifestyle changes such as a low-sodium diet and regular exercise.

In conclusion, acute on chronic right heart failure is a serious medical condition that requires prompt diagnosis and treatment. Patients with chronic heart failure should be aware of the risk factors and take steps to prevent acute episodes that could worsen their condition.