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所在平台: Udemy |
课程主页: https://www.udemy.com/course/a-62-year-old-lady-with-increasing-shortness-of-breath/
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这是一门关于充血性心力衰竭（Congestive Cardiac Failure）的课程，通过案例讨论的形式进行讲解。 **核心内容：** * **什么是充血性心力衰竭：** 课程将充血性心力衰竭比喻作一个无法及时完成工作的发货部门，解释了心脏无法有效泵血，导致血液在身体其他部位（尤其是肺部、腿部和脚部）积聚，从而引发一系列问题。 * **类型：** 课程涵盖了左侧心力衰竭、右侧心力衰竭和高输出心力衰竭（一种罕见类型）。 * **普遍性：** 指出充血性心力衰竭在美国非常普遍，是65岁以上人群住院的主要原因。 * **症状：** 详细列举了充血性心力衰竭的各种症状，包括但不限于呼吸困难（夜间尤甚）、胸痛、心悸、活动时疲劳、下肢及腹部水肿、体重增加、夜尿、干咳、腹胀、食欲不振和恶心。 * **病因：** 详细阐述了导致充血性心力衰竭的多种原因，如冠状动脉疾病、心肌病、先天性心脏病、糖尿病、高血压、心律失常、肾脏疾病、肥胖、烟酒滥用、某些药物（如化疗药物）的使用，以及左侧心力衰竭导致的右侧心力衰竭。 * **危险因素：** 强调了充血性心力衰竭的危险因素，包括年龄（65岁以上）、烟酒及可卡因的使用、久坐不动的生活方式、高盐高脂饮食、高血压、冠状动脉疾病、心脏病发作以及家族史。 * **并发症：** 介绍了充血性心力衰竭可能引起的并发症，如心律失常、心脏骤停、心脏瓣膜问题、肺部积液、肺动脉高压、肾脏和肝脏损伤以及营养不良。 **课程形式：** * 以案例讨论的方式进行教学，这意味着学习者将有机会通过具体的临床病例来理解和掌握充血性心力衰竭的诊断、治疗和管理。
Congestive heart failure, or heart failure, is a long-term condition in which your heart can't pump blood well enough to meet your body's needs. Your heart is still working. But because it can't handle the amount of blood it should, blood builds up in other parts of your body. Most of the time, it collects in your lungs, legs and feet.Think of it like a shipping department that can't keep up with getting all the shipments where they need to go. The shipping department is always running behind and things pile up. When things pile up, they cause issues.Types of congestive heart failureTypes of congestive heart failure include:Left-sided heart failure.Right-sided heart failure.High-output heart failure. This is a rare type of congestive heart failure.How common is congestive heart failure?More than 6 million people in the United States have congestive heart failure. It's the leading cause of hospitalization in people older than 65.SYMPTOMS AND CAUSESWhat are the congestive heart failure symptoms?Congestive heart failure symptoms include:Shortness of breath.Waking up short of breath at night.Chest pain.Heart palpitations.Fatigue when you're active.Swelling in your ankles, legs and abdomen.Weight gain.Need to urinate while resting at night.A dry, hacking cough.A full (bloated) or hard stomach.Loss of appetite or upset stomach (nausea)What causes congestive heart failure?Causes of congestive heart failure include:Coronary artery disease and/or heart attack.Cardiomyopathy (genetic or viral).Heart issues present at birth (congenital heart disease).Diabetes.High blood pressure (hypertension).Arrhythmia.Kidney disease.A body mass index (BMI) higher than 30.Tobacco and recreational drug use.Alcohol use.Medications such as cancer drugs (chemotherapy).Left-sided heart failure is the most common cause of right-sided heart failure. When your left ventricle isn't working correctly, it allows blood to back up. At some point, this backup affects your right ventricle. Other causes include certain lung problems and issues in other organs.What are the risk factors for congestive heart failure?Risk factors for congestive heart failure include:Being older than 65.Using tobacco products, cocaine or alcohol.Having an inactive (sedentary) lifestyle.Eating foods that have a lot of salt and fat.Having high blood pressure.Having coronary artery disease.Having a heart attack.Having a family history of congestive heart failure.What are the complications of congestive heart failure?Some of the complications from congestive heart failure include:Irregular heartbeat.Sudden cardiac arrest.Heart valve problems.A collection of fluid in your lungs.Pulmonary hypertension.Kidney damage.Liver damage.Malnutrition.
