Sun Rui, Liu Lifeng, Wang Shouli, 306 Hospital of PLA, Cardiology Department
Brand Quality Management Office Zuo Tianyu Editor
The rate of readmission in patients with chronic heart failure increases, and the most common and important predisposing factor is respiratory infection. What kind of diet and exercise habits can people develop in chronic heart failure?
1. What is heart failure
Heart failure (referred to as heart failure) is a group of ventricular filling or impaired ejection capacity due to any abnormal cardiac structure or function. Complex clinical syndrome.
Second, clinical manifestations of heart failure
The main clinical manifestations of heart failure are dyspnea and fatigue (activity tolerance is limited) ), as well as fluid retention (pulmonary congestion and peripheral edema). Heart failure is a serious and terminal stage of various heart diseases, and its incidence is high. It is one of the most important cardiovascular diseases today. Symptoms and signs of heart failure for more than one month are defined as chronic stable heart failure.
Three, good habits for patients with heart failure
1. Diet: low-fat diet, smoking cessation, obesity should be relieved Body weight, body mass index (BMI) ≤ 24, BMI= weight (kg) /height 2 (m2). 1 sodium limit: acute heart failure with patients with excessive volume overload, limit sodium intake < 2 g /d. It is generally not advisable to strictly limit sodium intake and expand sodium to patients with mild or stable heart failure, daily < 5g. 2 Water limit: The amount of fluid in patients with severe hyponatremia and severe heart failure should be handled by a specialist. Patients with mild to moderate symptoms do not routinely limit fluids. 3 is high-quality protein, multi-vitamin, easy to digest. It is recommended to have a small amount of meals, because the meal will increase the burden on the heart and induce aggravation of heart failure. Keep the stool smooth and increase the proportion of dietary fiber intake.
2, exercise: bed rest in the acute phase of heart failure, more passive exercise to prevent deep vein thrombosis. After the clinical condition is improved, physical activity is encouraged without causing symptoms. Exercise can improve the mortality and hospitalization rate of patients with chronic heart failure and improve their quality of life. Patients with stable heart failure with grade I to III cardiac function should be considered for exercise rehabilitation. Aerobic exercise is the main form of exercise rehabilitation in patients with chronic heart failure. Studies have confirmed that aerobic exercise is safe for patients with chronic stable heart failure. 1 form of exercise: aerobic sports types include walking, treadmilling, swimming, cycling, climbing stairs, Tai Chi and so on. Exercise time is 30~60 min, including warm-up exercise, real exercise time and finishing exercise time. For patients with chronic heart failure with physical weakness, it is recommended to extend the warm-up exercise time, usually 10~15 min, and the real exercise time is 20~30 min. . The exercise frequency is 3~5 times a week. 2 Exercise intensity: The intensity of exercise varies from person to person. It does not feel tired during exercise. There is no chest pain, difficulty breathing, dizziness and other symptoms during exercise. If you have the above symptoms, you need to stop exercising.
3, clinical manifestations of increased heart failure: increased fatigue, decreased exercise tolerance, increased resting heart rate ≥15~20 times/min, increased aspiration after exercise, edema (especially lower extremity) or Aggravation, increase in body mass, etc. It is important to measure body mass daily to detect fluid retention early. If the body mass suddenly increases by more than 2 kg within 3 days, the patient should have considered sodium, water retention (hidden edema), need diuretic or increase the dose of diuretic.
4. Avoid predisposing factors: 1 stress levels such as overwork and physical activity, emotional agitation and mental stress; 2 colds, respiratory tract and other various infections; 3 non-compliance with medical advice, unauthorized withdrawal, reduction Quantity; 4 improper diet, such as salty food; 5 without the consent of the specialist, add other drugs, such as non-steroidal anti-inflammatory drugs, hormones, anti-arrhythmia drugs.
5, zero smoking, less alcohol; pipe mouth, open legs; quality of life is guaranteed.