That's anyone's guess.

Heart failure is a condition in which there is an underlying cardiac disease with significant clinical manifestations, such as shortness of breath without movement. There are many causes of heart failure, most of which are heart diseases, such as coronary heart disease, cardiomyopathy, heart valve disease, etc. If these diseases are not properly treated, they may lead to heart failure. The most common ones, such as acute myocardial infarction leading to large areas of myocardial necrosis, can lead to acute heart failure, which can be followed by chronic heart failure, which may have a poorer quality of life.

There are many complications that can occur in patients with heart failure, and certain complications can lead to sudden death, such as arrhythmias, and severe ventricular arrhythmias (ventricular fibrillation) that can be immediately fatal if not resuscitated in time. So each person can expect how long a heart failure patient will live.

However, if the heart failure patients to receive formal treatment, such as coronary heart disease that will treat coronary heart disease, intervention or surgery, there are heart valve disease (such as rheumatic heart disease) patients to receive surgical treatment, the bad mitral valve, tricuspid valve removed, replaced with a brand-new biologic valve or mechanical valve ...... First of all, these can be removed to get rid of the cause of the disease, and then through a reasonable anti-heart failure drugs, the most effective several drugs are: antiplatelet aggregation drugs such as aspirin (coronary heart disease must be used), beta-blockers (such as betalactam, which can reduce the myocardial oxygen consumption, improve the survival rate), aldosterone receptor antagonist (spironolactone) and so on, these drugs have a great deal of help for patients with heart failure, the specific use or not how to use A doctor's decision is needed. The quality of life of patients with heart failure with good treatment, especially in the early stage of heart failure, can still be significantly improved, but we should know is that the disease of heart failure, will only aggravate or stagnation, will not go backward, so it must be actively treated. Of course, acute heart failure can be relieved through treatment, and by not turning back we mean the chronic state. But no matter what, active treatment of heart failure is still very much needed.

So, once you have heart failure, rush to treat it aggressively, with medication if you need it and surgery if you need it.

How long can someone with heart failure live? It varies from person to person.

The effectiveness of treatment for people with heart failure depends on three main things. Firstly, there are many causes of heart failure, secondly whether appropriate treatment is given for heart failure, and thirdly the long-term standardized treatment of heart failure is critical.

First, the question of the etiology of heart failure. Heart failure in general is an end-stage manifestation of various heart diseases, including coronary artery disease, valvular disease, cardiomyopathy, myocarditis, congenital heart disease, and so on. Each disease is treated differently and the outcomes vary greatly.

Secondly, if there is a clear cause of the disease, it is better to deal with it in time.

Take coronary heart disease as an example. Coronary heart disease is the narrowing or occlusion of blood vessels supplying blood, resulting in ischemia or necrosis. In the case of acute infarction, the treatment is to open the blood vessels at an early stage to save the necrotic heart muscle. If there is heart failure, it will be able to get better quickly. However, if it is delayed for a long time, and if the necrosis is very extensive, the treatment will not be effective.

Valve disease is a bad valve, if it is more serious, replace it as early as possible, and the heart failure can be relieved, on the contrary, if the valve is seriously diseased for a long time, and it is not dealt with, the treatment of severe heart failure will be difficult.

There are two main types of cardiomyopathy, those with exceptionally thick heart muscle, which can be removed or ablated in some people, and those with exceptionally thin heart muscle, which is more difficult to deal with.

Some cardiomyopathies, such as myocardial amyloidosis and myocardial densification insufficiency, are problems with the myocardium and are also more difficult to manage.

Myocarditis, if detected early and treated early, is also more effective, but chronic recurrent or explosive onset is less effective.

Heart failure with an unusually fast heartbeat over a long period of time can be treated by controlling the heart rate.

There are also some heart failures that are better treated, such as those caused by high blood pressure, which can be managed by keeping blood pressure under control. There are some secondary heart failures, such as those caused by hyperthyroidism and anemia, that are better treated by targeting the cause.

Third, if the cause of the disease can be clearly found and managed in a timely and standardized manner, and then standardized treatment at a later stage, many people with heart failure are able to live for many years. Standardized medication and a regular lifestyle, including beta-blockers, ACEIs/ARBs, diuretics, aldosterone antagonists, etc., can definitively improve the symptoms and outcomes of people with heart failure. It also includes control of hypertension, diabetes, obesity, and smoking cessation.

If you can't, the last resort is to have your heart replaced, which of course is more costly and dangerous.

In some patients with heart failure, there are adjunctive devices, such as resynchronization therapy, which is similar to a type of pacemaker that can help the heart beat.

In conclusion, there are many different types of heart failure and it is not possible to generalize about how long you can live even.

All this depends on correct, timely and standardized diagnosis and treatment. Some people can live to a ripe old age, but if they are not diagnosed and treated in a timely manner, they can die prematurely.

Heart failure is categorized into acute heart failure and chronic heart failure.

Acute heart failure is a very dangerous emergency and can be life threatening at any time.

Therefore, the discussion of "how long can you live with heart failure" is mainly centered on chronic heart failure.

What is heart failure?

Heart failure is a set of symptoms that occur when the heart's ability to pump blood does not meet the body's needs. The main symptom of heart failure is shortness of breath, which is particularly severe after activity. There is also weakness, fatigue, indigestion (gastrointestinal stasis), and edema of the limbs.

Heart failure is the end result of heart disease from various causes. Examples include coronary heart disease, rheumatic heart disease, hypertensive heart disease, cardiomyopathy, congenital heart disease, and more.

Heart failure can be categorized into different levels according to the severity of the disease. Those with mild symptoms will only experience dyspnea after physical activity, while those with severe symptoms will not be able to relieve their dyspnea even if they sit still.

How long can you live with heart failure?

There is no definitive answer to this question.

Compare the heart to an engine, if its maximum output is 100% under normal conditions, when it has various problems, the maximum output is only 70-80%, or even only 50-60%, this time is heart failure.

But we have no problem if we are careful to reduce the load on the heart. One does not need maximum power at all times. When resting quietly, maybe we only need 20-30% of the power and that's enough.

At the same time, we also need to pay more attention to the maintenance of the "engine", which not only helps to make it work longer, but also has the potential to make its output power back to a certain extent through maintenance work.

So.As long as it's not progressive heart disease, a heart failure patient can live just as long, a decade or even decades, with no problems, as long as it's not progressive heart disease, and it's well-maintained. An engine that isn't maintained, and is ravaged at will, is a new one that will break down quickly.

Even end-stage heart failure may be treatable in the future.

The main treatment for end-stage heart failure is heart transplantation, which is the equivalent of replacing the engine. This is not yet a widely adopted treatment due to insufficient donor sources and rejection.

A more promising approach is the artificial heart, a technology that has yet to reach maturity. If it starts to be widely used in clinical practice, it will undoubtedly give patients a second life.

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Heart failure is a real pain in the ass! But it's not out of the question!

Heart failure has a different prognosis because of its varying degrees of concern.

Currently, there are nearly 10 million heart failure patients in China, and the mortality rate of heart failure patients hospitalized is about 6%. That's 100 heart failure hospitalized, six of them are unsuccessful death, chronic heart failure five-year mortality rate of 50%, exactly the same as many cancers.

It sounds like a pain in the ass, even rather scary! But it's not always going to be like that, and as long as most of it is done right, it will naturally have very little impact on longevity.

Heart failure is just one result. Almost all heart diseases can lead to heart failure episodes, such as:uncontrolled high blood pressure for a long time, myocardial infarction, arrhythmia, valve disease, cardiomyopathy, etc. etc. As long as the heart disease is not controlled in time and leads to enlargement of the heart, it will cause heart failure.

Heart failure is categorized into left heart failure, right heart failure, and total heart failure; based on clinical manifestations, we generally classify cardiac function into four grades

Grade I: General activity does not cause symptoms such as fatigue, palpitations, or dyspnea.

Class II (Mild Heart Failure): no conscious symptoms at rest, general activity may cause the above symptoms, which resolve quickly after rest.

Class III (moderate heart failure): asymptomatic at rest, lighter-than-usual activities cause the above symptoms, which can be relieved only after a longer period of rest.

Class IV (severe heart failure): symptoms of heart failure are also present at rest and worsen with physical activity.

At present, the golden triangle of heart failure treatment: ACEI, aldosterone antagonist, b-blocker; diuretics can improve the symptoms; at present, the new drugs have arni, which has been entered into our country's part of the city, of course, there are still other drugs in the clinic. In addition to conventional treatment, there are pacemaker treatment, heart transplantation treatment and other methods.

Although triple-chamber pacemakers and heart transplants can improve the quality of life and prolong life expectancy for patients with heart failure, they may not be able to be promoted on a large scale, so the most effective way to prevent heart failure is still prevention.

We detect and treat heart failure early, the degree of heart failure is mild, coupled with active treatment, then the impact on life expectancy is minimal, but if we don't pay attention to it and detect it late, once it progresses to cardiac function class IV, then there is no way back ......

The latest guidelines for heart failure have made controlling high blood pressure the highest level of indication for the treatment of heart failure. Coronary heart disease is another big player in heart failure, so preventing exacerbations of coronary heart disease and actively and formally treating coronary heart disease is also a big guarantee of preventing heart failure.

That's why we need to start preventing heart failure by controlling high blood pressure! It has to start with early medical attention for chest pain, so we don't let the diseases we can control cause heart failure because we don't pay attention to them!

Only by taking good care of the "heart" will the heart work well, reduce heart failure episodes and aggravation of heart failure, and no one wants to see the heart go on strike!

The first thing we need to emphasize is - heart failure is a chronic, spontaneously progressive disease that is difficult to cure, but can be prevented, and life can be prolonged and with quality of life if the condition is actively controlled, medication is adhered to, and lifestyle is improved.

So what is heart failure? Heart failure refers to abnormal changes in the structure and function of the heart caused by various reasons, so that the ventricular systolic and/or diastolic dysfunction occurs, thus causing a series of complex clinical syndromes, whose main manifestations are decreased exercise tolerance (dyspnea, fatigue) and fluid retention (pulmonary stasis, body circulation stasis and peripheral edema). Just like the water and sewage at home, when the pump breaks down, the water can't go up or down, and if it's not repaired in time, the water pipe collapses.

According to the process of heart failure occurrence and development, from the risk factors of heart failure to the progression of heart disease with structural changes, to the emergence of clinical symptoms of heart failure, until the emergence of refractory end-stage heart failure, divided into A, B, C, D four stages. Prevention should be emphasized in the development of heart failure, including:

(1) Stage A - there are risk factors, but there is still evidence of heart failure: the main risk factors for heart failure treatment, including: ① control of hypertension, blood lipids, blood glucose, obesity and other underlying diseases, smoking cessation and restriction of alcohol, regular exercise; ② to avoid the use of cardiotoxic drugs; ③ the use of cardioprotective, inhibit cardiac changes in the drug: ACEI (Prilosec) or ARB (sartan drugs).

(2) Stage B - there are no clinical symptoms, but relevant examinations have suggested structural changes in the heart: the main task is to actively prevent and improve ventricular remodeling and prevent symptoms of heart failure: add beta-blockers (~~lol) on the basis of the treatment in Stage A; and implant a buried cardioverter defibrillator (ICD) in patients with a high risk of sudden cardiac death.

(3) Stage C - patients have developed symptoms of heart failure: sodium intake should be limited on the basis of stage B, generally no more than 3 g of salt per day; patients using diuretics can be appropriately relaxed because of increased sodium excretion; patients with acute heart failure should have no more than 2 g of salt per day. Therapeutic agents should be used in addition to ACEIs or ARBs, beta-blockers, diuretics, spironolactone, digoxin, and ivabradine; weight should be monitored daily, and an increase in body weight of 2 kg within 3 days suggests that the treatment is not effective and that diuresis or an increase in the dose of diuretics is needed. The treatment of heart failure should be complemented by active treatment of co-morbidities and removal of all predisposing factors, such as infections (especially upper respiratory tract and lung infections), arrhythmias (especially atrial fibrillation with rapid ventricular rate), electrolyte disorders and acid-base imbalances, and other conditions that can worsen heart failure. Patients with sleep apnea (snoring in the middle of the night that often wakes them up) should be treated with continuous positive airway pressure ventilation at night, depending on their condition.

(4) Stage D - with symptoms of heart failure and the symptoms are still not well controlled after drug treatment: limit salt and water, continue the drug treatment in stage C, add positive inotropic drugs if necessary, switch from oral to intravenous drugs, prevent venous thrombosis/embolism, etc.; if necessary, apply mechanical aids to improve the symptoms; palliative care, hospice care, etc., can improve the final quality of life of the patient for some patients. Quality of life.

Heart failure is not curable, but aggressive medication and a sensible lifestyle can slow the progression of the disease and improve survival rates and quality of life~~~

The authoritative interpretation of Pharmaceutical Affairs, unauthorized reproduction, plagiarism will be punished.

No need to be so pessimistic, I can tell you responsibly:Heart failure can return to normalAs for how long I will live I don't know, after all I am not a fortune teller!

Heart failure is not actually a disease, but a variety of heart disease development to the end of a performance state, the heart's pumping and ejection function is reduced, the heart supply other parts of the blood becomes less, oxygen is also reduced, this situation people tend to weakness, chest tightness, shortness of breath, dyspnea and other situations.

There is no cure in conventional medicine, and their approach to heart failure is to give injections and medication, and install pacemakers when it is dangerous, which basically profiles, the most commonly heard treatment options for heart failure patients, but is this treatment really effective?

It is important to know that the EF value of heart failure patients is generally not high, through a long period of drug treatment, it can be improved by 3-5 percentage points, but this is basically already to the limit, it is difficult to continue to improve, in the patient's body the effect is not obvious, and what symptoms there were before, there will still be now, and so on the situation is critical, it will be installed with a pacemaker for first aid, which is what the heart failure patients have been experiencing.

But this is just before, in fact, since 2016, the neuromodulation technology has been applied in the clinic, heart failure patients can already be cured in the clinic, more than 3,000 cases of heart failure patients recovered as in the beginning, this is a breakthrough in medicine, I have already applied for a national patent last year, I will create an era!

I am a physician on staff at a tertiary care hospital and I take responsibility for everything I say!

(This article was originally written by Prof. Luo Min. The pictures in the article are from the Internet, if copyright is involved, please contact me for deletion. If you have any questions, welcome to leave a message at the end of the article, private chat contact, common discussion. (Follow the author of this article to get more medical knowledge, welcome to like, comment, reproduced, common progress)

1. First of all, it should be clear that it is chronic heart failure: left heart failure, right heart failure, total heart failure. Heart function level, if the heart function in the third grade, especially has been specialized in the fourth grade is poor prognosis, any one of the triggering factors can produce serious consequences.

2. Is the underlying heart disease that causes chronic heart failure under control? In particular, can valvular heart disease be alleviated by surgery. On the contrary, in some heart diseases such as hypertensive heart disease, even if the blood pressure is well controlled, it is difficult to reverse the side of heart failure, and the prognosis is not good even if the serious hemodynamic disorders have been produced.

3. For the original no heart failure people suddenly produce acute left heart failure disease, and find, control, treatment is timely, effective, related to the survival of life and death. For example: acute large myocardial infarction, fulminant myocarditis, subacute bacterial endocarditis, acute papillary muscle dysfunction, acute pericarditis or symptoms of tamponade, pulmonary infarction.

4. Whether patients with existing heart failure symptoms can be detected, prevented, treated effectively and avoided from acute heart failure (most of them are acute left heart failure), such as: pulmonary infection, high fever, severe arrhythmia (too fast or too slow), severe anemia, poorly corrected hypo-proteinemia, too high or too low sodium, too much or too fast hydration, etc. All of these may lead to the occurrence of acute left heart failure in the patients with poor basal cardiac function, which may lead to the death of multiple organ failure, including renal failure, liver failure, respiratory failure, gastrointestinal failure, microcirculation and other organ failures, if not corrected and controlled in time. If not corrected and controlled in time, it finally causes renal failure, liver failure, respiratory failure, gastrointestinal failure, microcirculation and other multi-organ failure and death.

Therefore, it is not possible to answer the question of how long a patient with heart failure can live. It depends on the evolution, progress and deterioration of the underlying heart disease, as well as on the feasibility, accuracy, timeliness and preventability of the treatment, or at least not to artificially damage a heart that is not able to cope with the stresses and strains of the original. Decades of medical experience have taught me that there is an element of luck in seeing a doctor, and that it is better not to have an attack after work, on a day off, and especially during a long vacation. Do not say idealism, I sincerely hope that every patient can meet a good doctor who is committed to excellence in business, full of love and responsibility, because every doctor working now will be the future patient, if even this opportunity is not, then congratulations you are too happy!

2018.10.23

　　How long can a heart failure patient live? It is believed that heart failure patients and their families are most concerned about this question. Heart failure, or heart failure for short, is the late stage of heart damage that begins to show symptoms of various diseases, and it is the final stage of all types of heart disease with a high mortality rate.

　　There is a difference between mild and severe heart failure. In mild heart failure, the condition can be improved simply by taking medication. In severe heart failure caused by myocardial ischemia, the prognosis of the patient can be improved by improving myocardial ischemia. If arrhythmia leads to heart failure, heart failure can be cured by surgically removing the arrhythmia. In the case of heart failure caused by long-term heavy alcohol consumption, patients can quit drinking early and return to normal after active drug treatment.

　　It can be seen that how long a heart failure patient can live also varies from person to person and from disease to disease. If the heart failure caused by valve disease, mitral valve stenosis or insufficient closure, if mild to moderate when the heart failure, to death may have 20 to 30 years, and will not even die of this disease, but died of other abnormalities, such as strokes, infections and so on. Heart failure caused by an aortic valve may also have a life expectancy of twenty to thirty years after heart failure caused by an insufficient closure.

　　Survival in patients with heart failure is primarily related to several factors:

　　I. Good emotional state, pleasant mood. Daily monitoring of the heart rate, will be controlled in the ideal range; patients daily record of water intake and excretion, excretion than intake of about 500 ml more belong to the normal range.

　　Second, remove the causes of heart failure, such as infection, drinking too much water, exertion, and staying up all night may lead to heart failure.

　　Third, the drugs for heart failure patients are not set in stone. Doctors will choose drugs and increase or decrease the dosage of drugs at their discretion according to the patient's condition.

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First of all, the author believes that it is meaningless to talk about "how long one can live" in the absence of the severity and treatment of any disease. The prognosis of a disease is based on whether the disease is under control and active treatment. Therefore, I will talk about how long a heart failure patient can live in light of the severity of the disease.

As we all know, the heart is the engine of the human body, without which life will come to an end. Therefore, any problem of the heart can not be ignored, and heart failure is the most important of these problems, the so-called heart failure is a variety of reasons caused by the heart function and structure of the heart is damaged, resulting in impaired pumping function of the heart clinical syndrome. And cardiomyocytes are not regenerative, when the damage to cardiomyocytes reaches a certain level, the condition is often irreversible, and all we can do is to stop it from further aggravating, and try to improve the patient's quality of life.

How can you tell if heart failure is serious? We have a grading of heart failure severity that you can learn about.

Grade I: The patient's daily activity level is not limited, and general activities do not cause heart failure symptoms such as fatigue and dyspnea.

Class II: Patients with mild limitation of physical activity, no conscious symptoms at rest, and symptoms of heart failure can occur under general activity.

Class III: Cardiac patients with physical activity significantly limited, below the usual general activity that causes heart failure symptoms.

Class IV: Cardiac patients are unable to engage in any physical activity, and symptoms of heart failure are present at rest and worsened by activity.

From the above grading, perhaps we have all found that when the grading is at level 1, the condition is generally mild, and patients can often get the condition under control by actively controlling the risk factors and triggers of the disease, and by using drugs that reverse myocardial remodeling. And the prognosis can be quite good. When the grading reaches Grade 2, it is time to pay attention, because once it reaches Grade 2, the lesions are irreversible, and all that needs to be done is to treat it aggressively and try not to let the condition deteriorate. If the treatment is not timely, it will often develop into grade 3 or even grade 4, and then the quality of life of the patient will be significantly affected, especially in grade 4, then some patients may not live long.

After all this talk, how do we manage the progression of the disease?

1, for the treatment of the causes of heart failure, such as coronary heart disease, viral myocarditis, diabetic cardiomyopathy, hypertension, A heart disease. Because the cause of the disease is not removed, heart failure will continue to aggravate.

2、Actively control the triggers of heart failure, such as infection, arrhythmia, excessive sodium intake, emotional excitement, overwork, inappropriate drug therapy. These factors did not induce a heart failure, may aggravate the damage to the heart.

3, adhere to the regular drug treatment. Commonly used drugs include diuretics, RAAS inhibitors, β-blockers, positive inotropic drugs, vasodilator drugs and so on. Patients with heart failure must adhere to drug therapy, do not privately adjust the drug or stop the drug, otherwise it will be treated again may be poor efficacy, aggravate the condition.

So how can a patient with heart failure live longer:

Aggressive treatment of the primary disease when heart failure is detected, control of the causative factors, and adherence to regular medication stop its further progression. With aggressive treatment, a good prognosis can usually be achieved for ten, twenty, or perhaps more years.

I. What is heart failure all about?

Heart failure is a condition in which the heart reaches a certain state or a specific period of time as a result of various heart or heart-related diseases. It is not a specific disease, but rather a condition in which the heart reaches a certain period of time as a result of various diseases. The result is that the heart's diastolic or systolic function is inadequate, which in turn reduces the supply of blood and oxygen to the organs and leads to a series of symptoms.

Second, how long can you live with heart failure?

The question of how long you can live with heart failure is similar to how long you can live with a cold or how long you can live with cancer. It has to be analyzed specifically according to the particular situation, not all heart failure onset can not live a longer quality of life and life expectancy, and not all heart failure can survive successfully. Some heart failure can also survive with the disease, and for a long time there is heart failure that develops soon after the onset of the disease and dies soon after. Heart failure is considered on an individual basis, depending on the cause of the disease, the state of the heart failure, the treatment, and the individual's compliance with the treatment. The prognosis is not based on the name of the disease.

Third, what to do after heart failure?

Heart failure is a common cardiac condition. What should we do after heart failure? Firstly, good adherence is needed. Once heart failure occurs, long-term medication is needed to improve the symptoms of heart failure and to improve the prognosis of heart failure. Lifestyle interventions seem to be used in all diseases. The same is true for heart failure, which requires a low-salt, low-fat diet, weight control, rehabilitation, avoidance of bad habits, and so on. After the heart failure must regularly go to the hospital to see the doctor for review, adjust the medication, or regret late also.

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