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age 87

2007-10-04 04:52:16 · 10 answers · asked by jeanellen2005 1 in Health Diseases & Conditions Heart Diseases

10 answers

There are 4 stages of CCF namely A,B,C & D.
This will help you out:

Definition of Stage


STAGE A


Those at high risk for developing heart failure. Includes people with:

* Hypertension
* Diabetes mellitus
* Coronary artery disease (including heart attack)
* History of cardiotoxic drug therapy
* History of alcohol abuse
* History of rheumatic fever
* Family history of cardiomyopathy.



* Exercise regularly
* Quit smoking
* Treat hypertension
* Treat lipid disorders
* Discourage alcohol or illicit drug use
* If previous heart attack or current diabetes mellitus or hypertension ® angiotensin converting enzyme inhibitor (ACE-I)

STAGE B


Those diagnosed with “systolic” heart failure but have never had symptoms of heart failure (usually by finding an ejection fraction of less than 40% on echocardiogram).


* Care measures in Stage A +
* All patients should be on ACE-I
* Beta-blockers should be added
* Surgical consultation for coronary artery revascularization and valve repair/replacement (as appropriate)

STAGE C


Patients with known heart failure with current or prior symptoms.

Symptoms include:

* Shortness of breath
* Fatigue
* Reduced exercise intolerance.



In this group, care measures from Stage A apply, ACE-I and beta-blockers should be used +

* Diuretics (water pills)
* Digoxin
* Dietary sodium (salt) restriction
* Weight monitoring
* Fluid restriction (as appropriate)
* Withdrawal of drugs that worsen the condition
* Spironolactone when symptoms remain severe with other therapies

STAGE D


Presence of advanced symptoms, after assuring optimized medical care


All therapies under Stages A, B and C + evaluation for:

* Cardiac transplantation
* Ventricular assist devices
* Surgical options
* Research therapies
* Continuous intravenous inotropic infusions
* End-of-life care
Hope answered your question.

2007-10-04 08:41:22 · answer #1 · answered by Dr.Qutub 7 · 2 0

1

2016-05-17 04:15:44 · answer #2 · answered by ? 3 · 0 1

2

2016-09-18 08:25:48 · answer #3 · answered by ? 3 · 0 0

Stage C Congestive Heart Failure

2017-01-01 10:42:46 · answer #4 · answered by ? 4 · 0 0

3

2016-12-23 00:49:38 · answer #5 · answered by Anonymous · 0 0

I am a 11 year congestive heart failure patient, ej fraction was only 15 % last year bed ridden for 6 months, 47 heart attacks only 40% of a heart left in there working have had my defibrillator for 8 years now, started heart transplant procedures getting ready then THEN something wonderful happned I started feeling better and better ej up to 22% and climbing , feeling great I mean working 10 hours a day at home poking around cleaning and stuff. DONT EVER GIVE DONT EVER think thiss it I guess the little part in me started fighting and finding other blood sources SO FOR NOW I am NOT on the transplant list !!!!!!!! I enjoy EVERYSINGLE DAY !!!!!!!!!!!!

2016-03-13 05:23:36 · answer #6 · answered by Anonymous · 2 0

The American College of Cardiology and American Heart Association developed a classification of heart failure based on stages of the syndrome.
Stage 1 includes patients at risk of developing heart failure but who have no structural heart disease at present. These include patients with hypertension, diabetes mellitus, coronary artery disease, use of cardiac toxins, and familial history of cardiomyopathy. Strategies to prevent ventricular remodeling, including ACE inhibitors in selected cases, are advised.
Stage 2 includes patients with structural heart disease but no symptoms. The use of ACE inhibitors and beta-blockers is recommended.
Stage 3 includes patients with structural heart disease and symptomatic heart failure. Diuretics, digoxin, and aldosterone antagonists may be added to ACE inhibitors and beta-blockers depending upon the severity of symptoms. Cardiac resynchronization therapy also may be considered in selected patients.
Stage 4 includes patients with severe refractory heart failure. Physicians are urged to consider either end-of-life care or high-tech therapies such as cardiac transplantation, based on individual cases.
ACC/AHA Classification of Chronic Heart Failure
StageDescription
A
High risk for developing heart failureHypertension, diabetes mellitus, CAD, family history of cardiomyopathy
B
Asymptomatic heart failurePrevious MI, LV dysfunction, valvular heart disease
C
Symptomatic heart failureStructural heart disease, dyspnea and fatigue, impaired exercise tolerance
D
Refractory end-stage heart failureMarked symptoms at rest despite maximal medical therapy
Please also see Table1 New York Heart Association-Classification of Heart Failure. (Merck)
Please note that I am not a medical professional.

2007-10-04 05:14:35 · answer #7 · answered by gangadharan nair 7 · 1 0

With the newer types of insulin these days, diabetic diets aren't necessarily as restrictive as they used to be. Read here https://tr.im/ZA9Ml
As with any medicine or diet change, you should discuss it with your doctor. Fruits, both fresh and dried, have a natural sugar in them that will raise blood sugar levels, so be careful about eating too much. Not sure about the nuts. Moderation is always the key. I've been diabetic for 18 years and just recently changed insulin types. I love it because it gives me more freedom in when and what I eat.

2016-05-02 11:32:52 · answer #8 · answered by ? 3 · 0 0

Stages Of Chf

2016-09-28 02:25:15 · answer #9 · answered by Anonymous · 0 0

Well, I don't know how many there are go in ask a professional and they will tell you.

2007-10-04 04:56:50 · answer #10 · answered by Anonymous · 0 4

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