Congestive Heart Failure, Atrial fibrillation, Cardiomyopathy 심부전,심방세동, 심근병증
2025. 9. 22. 14:35ㆍIn Canada/nursing study
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Heart Conditions Overview Table | 심장 질환 요약 표
| Category | Congestive Heart Failure (CHF) 심부전 |
Atrial Fibrillation (AFib) 심방세동 |
Cardiomyopathy 심근병증 |
| Definition 정의 |
Heart can't pump blood well, causing fluid buildup. 심장이 혈액을 제대로 펌프하지 못해 체액이 쌓임 |
Irregular, fast heartbeat that may cause stroke. 불규칙하고 빠른 심장 박동으로 뇌졸중 위험 |
Disease of heart muscle that weakens pumping. 심장 근육이 약해져 혈액 순환 저하 |
| Symptoms 증상 |
- Shortness of breath - Swelling - Fatigue - Coughing 숨 가쁨, 부종, 피로, 기침 |
- Palpitations - Dizziness - Fatigue 두근거림, 어지러움, 피로 |
- Shortness of breath - Irregular heartbeat - Fainting 숨 가쁨, 불규칙한 박동, 실신 |
| Safety Tips 안전 수칙 |
- Limit salt/fluid - Monitor weight - Take meds 소금/수분 제한, 체중 확인, 약 복용 |
- Take blood thinners - Avoid caffeine/alcohol 혈액 희석제 복용, 카페인/알코올 피하기 |
- Avoid alcohol/drugs - Heart-healthy lifestyle 술/약물 피하기, 건강한 습관 유지 |
| Tests 검사 |
- Echocardiogram - ECG - Blood tests 심장 초음파, 심전도, 혈액 검사 |
- ECG - Holter monitor - Echo 심전도, 홀터 모니터, 초음파 |
- Echo - ECG - MRI 초음파, 심전도, MRI |
| Treatments 치료 |
- Diuretics - Beta-blockers - ACE inhibitors 이뇨제, 베타차단제, ACE 억제제 |
- Blood thinners - Rhythm meds - Ablation 혈액 희석제, 리듬 약, 절제술 |
- Medications - Pacemaker - Transplant (if severe) 약물, 심박 조율기, 심장 이식 (심한 경우) |
1. Congestive Heart Failure (CHF)
What is it?
- The heart isn’t pumping blood as well as it should.
- Fluid builds up in the lungs, legs, and body (“congestion”).
Key Signs & Symptoms:
- Shortness of breath (especially when lying down)
- Swelling in feet, ankles, or belly
- Fatigue, weakness
- Rapid weight gain from fluid buildup
Safety Tips:
- Weigh daily (to catch fluid buildup early)
- Watch for worsening shortness of breath or swelling
- Limit salt and fluids if advised
- Take meds exactly as prescribed
Tests/ Treatments Ordered:
- Blood tests (BNP)
- Echocardiogram (heart ultrasound)
- Chest X-ray
- EKG
Common Treatments:
- Diuretics (“water pills”) to get rid of fluid
- ACE inhibitors / ARBs / ARNI (help heart pump better)
- Beta blockers (slow heart, help pumping)
- Low-salt diet, fluid limits
2. Atrial Fibrillation (AFib)
What is it?
- An irregular, often fast heartbeat.
- The upper chambers (atria) of the heart beat chaotically.
Key Signs & Symptoms:
- Palpitations (“fluttering” or “racing” heart)
- Fatigue
- Shortness of breath
- Dizziness or lightheadedness
- Sometimes no symptoms
Safety Tips:
- Risk of blood clots → stroke risk is high
- Take blood thinners if prescribed
- Report chest pain or fainting right away
Tests/ Treatments Ordered:
- EKG (shows irregular rhythm)
- Holter monitor (24-48 hr heart rhythm test)
- Echocardiogram
- Blood tests (thyroid, electrolytes)
Common Treatments:
- Blood thinners (warfarin, DOACs like apixaban)
- Rate control meds (beta blockers, calcium channel blockers)
- Rhythm control (antiarrhythmic meds, cardioversion, ablation)
3. Cardiomyopathy
What is it?
- Disease of the heart muscle → makes it weak, stiff, or enlarged.
- Can lead to heart failure or irregular heartbeats.
Key Signs & Symptoms:
- Shortness of breath
- Fatigue
- Swelling in legs/ankles
- Chest pain
- Palpitations
Safety Tips:
- Avoid alcohol/drugs that strain the heart
- Take meds regularly
- Watch for worsening swelling or shortness of breath
- Know family history (some types are inherited)
Tests/ Treatments Ordered:
- Echocardiogram
- EKG
- MRI of heart
- Genetic testing (sometimes)
- Stress test
Common Treatments:
- Same as heart failure meds (beta blockers, ACE inhibitors, diuretics)
- Implantable defibrillator (ICD) for dangerous rhythms
- Lifestyle changes: low-salt diet, limit fluids, no smoking/alcohol
- Severe cases: heart transplant
In short:
- CHF = weak pump, fluid buildup
- AFib = irregular rhythm, stroke risk
Cardiomyopathy = diseased heart muscle
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