Heavt Fa uye |PagoNo.

Date

Heatfadlure s de hned osthe inabiluty

hear o pump blop oTuEY Ot amat e
Sufhcieot to mseEhe oeiaoolic oleocands
the boy theliabiliy do SoD the
CandiaO Hlina peasuneaxc abhan0allu
Resuts mm (Lqocaxcual n extaaMoearal
abomoautues hica aHeet LY Fun
guddeo caxdiac oxenload duc
to Sustemic bpetenaion
cboooic beaxt £aiumeHhatmesus
predcooinantt em. an aonomoalu tu o yentiulo
mpt09 dud to Tmpained) LonacHityox
ekcesse aftece Coad s ottn teamed
gysmic het Toitur
Heart faiue thoct mesults fom a n
aororoality o yenimcuaa hing Was
preiousy e feme.d adiasnu HE

Pad Ropusipos4
he heart nomad ly aceept bocdat low Klinq-
essuYC e duñ0q duástple and tnen pope
i t foroard at Nabt
pressuxe fo susOLE.
ToaheaHh indayiduathe cacdia ou
S madehed to fhe bodys
totou meBaboll
need taouah adiustme.oto heart
ate a
yenoulayShmEe Yotuum
StDte Youme
isafuogYa ventm
pTeload, aei loadando0imadhu
rankSau ng meceiamsm: Cas ranemtteel
end- das touCVO
Duln)
P On any OPumonay hydrostat
mpaired tontrackit/ after lwad e aa Mu psessuer LA veinsF
Page No Pbge No
Houg matial) capTuay Date
Resudt în ransudad o Fuid itD puulmonay fote on ry Yalre

Cons PshO?.
Har- Faiure uoTh pesenved aupu incmeases in relaken D te
eeshon ce enocular
resuts mo om MpaunedNeotSeuuar pme-(oad o r 9 h e e h o n i h e
aooardial h r e
KUha
Tesultant bm.m o eohanTce obStuehon O
be fore CoDtmashon
Lmpeuned dias ouc elakabOD NeotouLdar uall S e i s fhat
dexelopsduRno-

n a o he xentmele oeeuns at iahe r afterload,efiets the

tha SustourejeuhoD,
pressUTe OLOd f6-hans ted J
aesiStence a e yeoicle must
ANEMTome
Teoanade o the puulmconam ond susteuc empty t s taote
yein
ThispresSuse delermioes the
end- Syshouc
Ciofcal ManfeStahon3 Noume a a c leE xentncle f o d e p e a d e n E
Caxdiocd Suqmpto.msql cbmon lef Yentnculo epe-OcLd

aiunc Muocardlial caoac huty accocOts fn Change

Dyapnoea in the forcs e o o t a i fndepencent 4 t
xexcise îotolena.Oce pre-load and afietoad
FaRaue H e a t fajue ae Heaenesis depend upoh
YPutmonan Cnau pressst Cauae LLmpairrd tontoadKTh
(1 ansctuet a flud ioto the luoa oeased after tead
panene buma pired veobsculas Slifna
O0wee beatbinq due to mecducec
pulmaDCnY0mplaince Sustolic heart fd ure resa Prom dininshed
(auaL e Sietao ce capacly offeeted yenhiele ojert bleoe
9Hmuulat uxtacopilk eceptons becase a paied waDrandial coniackit
Accumalio tacta lache duAd due t o excessiye aFhe uoad
Louo cadias uu PcsSure cONexLoad împains yenicdax
eeio0 giani Hcant increa inq aeSkane
LY feaure suypkome to Ploud This Kesult o eduiee gtote volume.
otopaoea as Suga emptyina Ceases at a ahe
Noctoal cough end- eushouic oLm ethan nommal-
PamxusmalKoc huanal ushea hen noma) puw monaLyeous E fiunaa
added fo tte (1) end susoti matLne
Abie tha has remoinge n +ke venm Le
ausc
NOUume
incople k eaptuaq iue diastni chacoet
TeuRnq fn a ehdRor mal end-di asto le
Xounc 2Pssue
 bos
oeee Page No
Date

k(P HE 8uMp M
Abdoinal distomfo
AnoreKia

NauSea
(4 Pepbesal OedeMa
(sNeiqht qaln

LoLo Cardial Ouput 9umptD

faaue
Neatness
(Dused me0tal gtstu
( Nouia

PLuscel ian E

P Hearardiar
PysRuner DysuneH O
ODiS+eohon Gugutar Plmonam ralts
Hepatie calare Wheezno
pepen dent oedema
otensi y S2
3 er
S4gulop
Pia Yentular MR murmU
Keave o geulop
S)TR mumuY

Advanceo Diseas e
poired
perfusToo () Carduee cachekia Pesphenal
Taebyeoneie () Taaupmeal) NoDfaphOTe
o
puust ressu

Dano SIS.Pef AP Nowme 4 p o8T

 Page No
atsd Date

ETreamenb
classi icat Nomafma e t rau
L Y efeur frctsLyer]
AccAHA ClassiRca HF
O HF Wih Teduced Efet fraut
HETEe)
HE ith prese ed Efet" act
CHEpEF)
T AE AHA classfcaldeteets the
a t SK Eor dexelopinq pahen
Suctaral heat
duscase ancd Sumpto.ms o HE(Stage A)
w o haye
Eep9HuuTal heani
fsease uwf+ho ut siang es
HF (Shaae 5) 9uuapioma a
mho haxe STuural
beent diseag e
HE (Sea )
who have re fractmy heant
Faiure
9pedalaed ioBemYenRon (SECae D)_ eqwiAc
Staqe
QLonolve conbwl oisk fauror and preyent_
deeloping Suuniral LY isease
Phanmauothcaapu
ACE Rokibitors
ARB
tLo1th Yalyula heant diseaie OY diabelg
dive additiona Susreac bene0
Stage B oals to controsyPD m ( mPrOYe ualfF+ moT+aut ty
1feePrenen+ hosp tauUsat

|Page No Page No.

Date
Date

Stage Non- phamaio nrmopy 15epe eialy

AL bon- phaaoouloqiCal iotemyeohon
impot ant io paeAt Dup
Theapu Tor HEEF Heact HeaUt GFestyie
(6HEp fE Aeobic exeode fo 30 tes

Hfr F hmes a CAoeek

Dues ACE Kohibitors O ARB_ Cou fa/eholeskrol meal

SpecKe Bera- olokerS Restsine odúum ínta ke
A o Stemne PeLeptom
AntagoDISD CISOD mada
Antioaaulaoot
dolarine /1dsobisle Di ree
NOn-phomo alLoaica - O The aoal a aemapy anC fo prevenr HE
Edueah Dn ubO ut 3q care cerdiae yremodelins
SyMptnma and fuuxthe
Sodium ResthseRon SoD mg lda ORunent uih Hx EF
81eep JSdTe er reaoent
Beta blockeAs
ExeNtise plan
earduae en o Caivediol, eanvetio| eR
fohent uih NYHA ciass I N Supfqmah2 metapom lo gueeinate ( x ) SY
oD p diume g Reuef BTsopn ol
Pahen +_ with me u ent hospftaissthon f AE fo b to
HE ARB
heuLe diogxin there Aaemesive manaaementE_ bpertensi DL
Shpald be ppoech ed hould
HpEF-Pef APINolwDne 1 pa no 841 avoid

ShaaeD nan-dikuedopqiine caldium CBoc

fakent
fstabis w Goals acaae with gtafn thesTp4
al o the therapy incluce palliahop DeNIE tneraupu is alsD useul
Bumptoms aad kaspfde reducfng raie
ospitel na and in Subierte thot olawCandeveter deAf bs ato
eD)
e eliginle cardiae tansplaotahon and SfaaC 5 pt mau baxe oDSidecotioo_fo
left verm cuya aasist desi e meNaCulam2ahoD _ar YaUye repair o Ep
 Malh o s P o 535

PageNo.
Date

StsE ElUid ce.gimt Honiae apppnate

oit ponadaemia
iD paben
ySLday to 2 ay
Lorth recu ent admissTO
apaieot
onSider fo
notopic themapy hoWa be
hanepanieuhOnL A D .

Acute DeDMpengated H e r t £auuye

immedicte
rep u1S aimed to pmvide
8 u p o m a i e reueA o pul mon94 Ocdema.
îmmanent carauocap
and sescue paient mm
kaemodnam
COllapse bu O p h o i s i n a t h e
totus
fs V CoUp
The hallma hera
diuxeKes-
pNÍates
3Nomal c d i a i Ouhput
NesrcÍKAe.

carelias Ouhpu|end-
Oan damage
HE
AppDaeu fD Pt

ASSesmen+ LY Aoct

ASsEs menE a Youme s t t u

NO sTGns Symptoms
8qn nd ynphoms
Plue retenfon Flud etenh, on

DTTEHT Dgox
-B cter