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Zhang
Qian
CHATTING
WITH
OUR
ELDERLY
FRIENDS
ON
THE
PREVENTION AND
TREATMENT OF HEART
FAILURE
Heart failure
can
be
primary
or
secondary;
the
former
is
caused
by
dis-
eases
of
the heart
itself
,
e.9.,
coronaries,
high blood pressure and
rheumatic heart diseases, etc.;
the
lat-
ter is a result of other diseases
in
the
body,
e.9.,
hyper-secretion of thyroid
hormone (thyrotoxicosis), anaemia, etc.
lf
feasible,
avoid
all precipitating factors,
e.9., upper respiratory tract
infection,
excessive physical exercises or
even
unnecessary mental stresses, etc. Left
heart tailure usually present as "noc-
turnal
paroxysmal
dyspnoea" that
wakes
the
patient up to obtain relief by
sitting
up
and
panting. Right heart fail-
ure manifests as breathlessness and
leg swelling. lt
should
be noted
that,
in
the elderly, symptoms of heart failure
tend
to
be less florid and dilficult
to
recognise.
Moreover,
in the
elderly,
there
is
also
a
tendency of having multi-
organ failure, e.9.,
the
lungs, the kid-
neys fail
with the heart.
On the
first sus-
picion of heart failure, consull the
doc-
tor
right the
way.
lf available, institute
first
aid measures like resting in
bed,
oxygen, sedation and various specific
medications
as
directed
by the doctor.
Treat
all underlying causes of heart faiF
ure promptly, e.9., control high blood
pressure, treat anaemia
etc.
Above all,
appropriate diet with good nutrition but
less
salt,
regular life style and retrain
from smoking, excessive drinking are
all
relevant.
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