Heart failure is too common. As a critical care doctor, he is entangled with heart failure patients almost every day. Patients who come to the ICU rarely have one organ that does not function alone, but often multiple organs do not function, and the heart is the first to be affected.

What is heart failure?

It's too simple. If the heart fails, it is simply called heart failure. What function does the heart are responsible for? Do you know? Ordinary people can probably say that as long as you have studied high school biology, the heart is responsible for pumping blood, pumping blood out for other organs of the body, and after use, it will be sent to the other end of the heart (right heart), and then enter the lung circulation, fill it with oxygen and then return to the left heart, and the left heart begins to pump blood again... It repeats itself.

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The heart does this job.

But I have a heart disease, tiredness, and collapse, and I can't do this job anymore.

There was a physical problem.

Why does heart failure occur?

There are several major reasons, the most common ones are: coronary heart disease, hypertensive heart disease, rheumatoid valvular disease, cardiomyopathy, etc.

If the heart is compared to a house, there are water pipes, wires, walls, doors and windows in the house. Then the blood vessels of the heart are like water pipes, the myocardium of the heart is like walls, the valves of the heart are like doors and windows, and the electrical conduction system of the heart is like wires.

Whether the doors and windows are broken, the wires are broken, the walls are collapsed, or the water pipes are blocked or burst, the house cannot be used normally, and in severe cases, it will be moved.

Some people have heart failure because of problems with the water pipe. Look, this is the blood vessels of the heart (coronary artery)

When the heart's blood vessels are sclerotic, narrowed, and damaged, there must be many heart muscles that cannot get enough blood, and then this part of the heart muscle will be ischemia-necrotic, which is coronary heart disease. Severe ischemia-necrosis is acute myocardial infarction, which is the most common cause of heart failure.

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Some people have heart failure because there is a problem with doors and windows. The valves of the heart are doors and windows, such as mitral valve, tricuspid valve, aortic valve, pulmonary valve, etc. See:

When the doors and windows are broken, can't be closed, or can't be opened, the blood inside the heart cannot flow smoothly, and may even flow backwards, which may affect the normal operation of the heart and may lead to heart failure.

Generally speaking, this phenomenon is more common in rheumatic heart disease. These diseases have become rare in recent years, but there are still quite a lot of them. Nowadays, there are more elderly heart valve lesions. From time to time, a patient with valve replacement surgery or valve repair appears in the ICU.

If there is a problem with the wall of the heart, it is actually a problem with the heart muscle, which can also lead to heart failure, such as severe myocarditis, right? From time to time, I hear that a young man died of a cold.

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In fact, it may be because of myocarditis, and it is a severe myocarditis, similar to a cold, but not a cold. The entire heart muscle has inflammation and dysfunction, leading to heart failure. In severe cases, it can cause death. Although most myocarditis is mild, you will always encounter a severe disease, and it will be troublesome to encounter one.

This old lady is just a little dramatic.

The old lady has had high blood pressure for more than 20 years. She has repeatedly experienced heart failure in recent years. She has been admitted to the cardiology department for treatment and was discharged from the hospital after a week of conditioning.

This time, the department director is confused, and there will always be a cause of heart failure. The most common cause is lung infection, arrhythmia, or improper treatment, such as the patient's discontinuation of diuretics, antihypertensive drugs, etc., and some TV series also play the children of the patients who compete for their family property. The situation is bad, and the emotions are very excited and the heart failure occurs...

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But this old lady has no such thing as five daughters, each of them is filial and successful in her career. She is also very obedient to take medicine. The old man urges her to take medicine every day without losing any of them. Is there any sign of pneumonia? There is no sign of rapid or slow arrhythmia.

I was puzzled.

What went wrong? Why did heart failure occur repeatedly?

I can't figure it out.

If you have been a doctor for a long time, if you don’t have a little detective thinking, you will not be a doctor, especially a clinician.

The rounds are on this day.

The old lady happily took out a small box and said, "Doctor, look, this is the pickles brought from my hometown, it's so delicious. Come on, I'll give you a box."

The doctor said, "Old lady, I don't eat pickles, please keep it for yourself. Thank you for your kindness."

The old lady looked angry and said, "Doctor, I still have a large jar at home. I eat almost every day. I'm tired of eating it. I'll bring some for you and get it."

The story should end here.

If you are a discerning person, you will find the keywords at a glance. Unfortunately, the doctor is not experienced enough, so after chatting for a few more words, he suddenly realized it.

pickle!!!!!

A big tank!!!

Eat every day!!!

Eat every meal!!!

Didn’t you tell you not to eat so salty? Why is it still so heavy? The doctor blamed the old lady.

I don't think the pickles are salty, they are delicious.

Finally, at the strong request of the doctor, the old lady took all the jar of pickles at home to the hospital and confiscated them. More than 30 nurses in the cardiology department had eaten it for more than a month before they finished the jar of pickles.

Since the old lady stopped eating that jar of pickles, she has not had heart failure in two years. Compared to the several times in the previous years, it is obviously much better.

This case tells us that patients with hypertension and cardiac insufficiency should really avoid eating and eat lightly. Eating too much salt will lead to water and sodium retention, which may aggravate hypertension and induce heart failure.

Well, if you have high blood pressure, heart failure, pickles, braised pork, salty smoked meat, or salted fish... all kinds of miscellaneous things, as long as you have them, you can send me a courier. If you are not suitable for eating, you can use them to harm me, I am not afraid.

Come on...

Some time ago, a 45-year-old male patient with cerebral hemorrhage and coma was transferred to the ICU. The patient was quite young. The CT of the head showed that there was brainstem hemorrhage. The condition was very serious and he died soon.

Two days ago, a friend's father also underwent surgery due to cerebral hemorrhage. He was admitted to the ICU after the operation and died a few days later, which is very regrettable.

Both patients have one thing in common: they found that blood pressure has increased for some time, and the doctor also diagnosed it as hypertension, but there has been no standardized treatment.

I asked my friend why he hadn't used drugs to control his blood pressure before. He said that (the patient) had nothing to do with discomfort, so he didn't think about taking medicine.

I said that the doctor hasn’t told you about the harm of high blood pressure, how could he be so careless?
Chapter completed!