Heart failure

Epidemiology


Etiology


Pathophysiology


L10813.jpg

Clinical features


Diagnostics


Pathology

Sputum analysis in patients with pulmonary edema may show heart failure cells (hemosiderin-containing cells).Pasted image 20241218090244.png Pulmonary venous congestion may result in intra-alveolar bleeding. Macrophages that subsequently phagocytose the erythrocytes are called “heart failure cells.�?/span> These cells may also be detected in the sputum of patients with pulmonary infarction, vasculitis, or aspiration of blood.
  • Their color is most likely due to hemosiderin from ingested erythrocytes.
  • ECG

    Pasted image 20230723213037.png

    Treatment


    Agent Mortality Benefit
    Angiotensin receptor-neprilysin inhibitor (e.g., sacubitril-valsartan) OR ACE inhibitor (e.g., lisinopril) OR Angiotensin II receptor blocker (e.g., losartan) Yes
    Beta blocker (e.g., metoprolol, carvedilol) Yes
    Mineralocorticoid receptor antagonist (e.g., spironolactone, eplerenone) Yes
    Sodium-glucose cotransporter-2 inhibitor (e.g., dapagliflozin, empagliflozin) Yes
    Diuretic (e.g., furosemide, metolazone) No, only improves symptoms & reduces hospitalization.
    Digoxin No, only reduces hospitalization.
    Explanation

    RAAS inhibitors