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  • Heart Failure

    what is Class 3 heart failure?

  • #2
    Re: Heart Failure

    Hi Bryan,
    I know you asked a short question...and I am giving a LONG answer. But althought it is short..it is a complicated question.
    Stages of heart failure
    In 2001, the American Heart Association (AHA) and American College of Cardiology (ACC) developed the "Stages of Heart Failure." These stages will help you understand that heart failure is often a progressive condition and can worsen over time. They will also help you understand why a new medication was added to your treatment plan and may help you understand why lifestyle changes and other treatments are needed.

    The stages classified by the AHA and ACC are different than the New York Heart Association (NYHA) clinical classifications of heart failure that rank patients as class I-II-III-IV, (1 being able to function normally...2 some limitations - 3 more limitations and 4 very symptomatic and unable to function well at all)according to the degree of symptoms or functional limits.
    Stage A People at high risk of developing heart failure, including people with:
    Hypertension
    Diabetes
    Coronary artery disease (including heart attack)
    History of cardiotoxic drug therapy
    History of alcohol abuse
    History of rheumatic fever
    Family history of cardiomyopathy

    WHAT CAN YOU DO?
    Exercise regularly
    Quit smoking
    Treat hypertension
    Treat lipid disorders
    Discontinue alcohol or illegal drug use

    What MEDS are used?
    An angiotensin converting enzyme inhibitor (ACE-I) may be prescribed if you've had a previous heart attack or if you have diabetes or hypertension
    Beta-blockers if you've had a previous heart
    attack

    Stage B People diagnosed with "systolic" heart failure but who have never had symptoms of heart failure. The diagnosis is usually made when an ejection fraction of less than 40% is found during an echocardiogram test. Treatment methods above for Stage A apply
    All patients should take an angiotensin converting enzyme inhibitor (ACE-I)
    Beta-blockers should be added for everyone
    Patient and doctor should discuss surgery options for coronary artery repair and valve repair or replacement (as appropriate)
    THIS IS NOT NORMALLY HCM pts..unless they are in "burnt out" or "endstage" HCM - less than 10% of HCM'ers are believed to fall into this area, and it normally comes late in life.

    Stage C Patients with known heart failure with current or prior symptoms. Symptoms include:
    n Shortness of breath
    n Fatigue
    n Reduced ability to exercise

    Treatment methods above for Stage A apply
    All patients should take an angiotensin converting enzyme inhibitor (ACE-I) and
    beta-blockers
    Diuretics (water pills) and digoxin may be prescribed
    Restrict dietary sodium (salt)
    Monitor weight
    Restrict fluids (as appropriate)
    Drugs that worsen the condition should be discontinued
    Spironolactone may be prescribed when symptoms remain severe with other therapies

    Stage D Presence of advanced symptoms, after receiving optimum medical care. Treatment methods for Stages A, B & C apply
    Patient should be evaluated to determine if the following treatments are available options: heart transplant, ventricular assist devices, surgery options, research therapies, continuous infusion of intravenous inotropic drugs and end-of-life care

    Hope this helps a little.
    Lisa
    Knowledge is power ... Stay informed!
    YOU can make a difference - all you have to do is try!

    Dx age 12 current age 46 and counting!
    lost: 5 family members to HCM (SCD, Stroke, CHF)
    Others diagnosed living with HCM (or gene +) include - daughter, niece, nephew, cousin, sister and many many friends!
    Therapy - ICD (implanted 97, 01, 04 and 11, medication
    Currently not obstructed
    Complications - unnecessary pacemaker and stroke (unrelated to each other)

    Comment


    • #3
      Re: Heart Failure

      A little??? This helped alot. Thanks a bunch!!!

      Comment


      • #4
        Re: Heart Failure

        Hi Lisa,

        So class III is the equivalent to stage C?

        Doug
        NEMC's (Boston) First Myectomy 7-22-2003

        Comment


        • #5
          Re: Heart Failure

          Terms change slightly based on where a doc was trained...so yes, I am assuming that "C" and "3" are the same thing here.
          Lisa
          Knowledge is power ... Stay informed!
          YOU can make a difference - all you have to do is try!

          Dx age 12 current age 46 and counting!
          lost: 5 family members to HCM (SCD, Stroke, CHF)
          Others diagnosed living with HCM (or gene +) include - daughter, niece, nephew, cousin, sister and many many friends!
          Therapy - ICD (implanted 97, 01, 04 and 11, medication
          Currently not obstructed
          Complications - unnecessary pacemaker and stroke (unrelated to each other)

          Comment

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