Differences In Heart Disease ADHF, HF, Halo And Cardiogenic Shock?

sorry doctor want to ask

1 Answer:

Hello Zidni,


HF / heart failure is a condition where there is a decrease in heart function due to structural abnormalities. Symptoms of HF are:

Shortness of breath when on the move. Usually there is a marked decrease in patient activity. For example: once strong climbed the stairs of the house, now can not. In heavier HF, shortness of breath is also felt when resting
Shortness in certain positions, the patient is more comfortable in a sitting position, sleeping with a pillow that is rather high
Woke up suddenly at night due to tightness
Signs of fluid retention: swelling in the ankles, fluid in the lungs

ADHF / acute decompensated heart failure and Halo / acute lung edema are forms of clinical manifestations of HF patients who usually come to a health facility (especially the emergency room). ADHF is a worsening of the patient's condition characterized by the sudden aggravation of HF symptoms. ADHF can occur first or with chronic HF. ADHF is usually triggered by a state of infection, heart attack (myocardial infarction), heart rhythm disturbances, uncontrolled high blood pressure, or irregular treatment of HF (drug withdrawal). Pulmonary or pulmonary edema is a condition that usually accompanies ADHF. Characterized by the accumulation of fluid in the lung tissue, causing a severe tightness of the patient, decreased oxygen saturation, and on examination can be heard abnormal lung sounds, and on X-rays will appear a picture of pulmonary congestion. Halo can be caused by cardiac and non-cardiac abnormalities.


Cardiogenic shock is the most severe clinical manifestation of HF, in the form of decreased tissue perfusion characterized by a decrease in systolic blood pressure <90 mmHg, decreased urine production <0.5 cc / kgBB / hour, with or without pulmonary / other organ congestion. Cardiogenic shock is a very life-threatening condition that requires immediate treatment by medical personnel.


The handling of each case of HF, ADHF, Halo, and cardiogenic shock varies. The goal of HF therapy is to maintain adequate fluid volume in the body while still paying attention to the heart's burden. In cases where excess fluid occurs the doctor usually gives a diuretic to remove fluid from the body. Patients are generally given heart medications that help with heart contractions and frequency. Patients are advised to diet low in salt and limit daily fluid consumption. Lifestyle modification is also important. Patients with HF suspicion should be seen further by a cardiologist.


Thus the explanation from me, may be useful.

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