Decompensatio Cordis or Heart Failure is a condition when our heart can not supply enough blood and needs for our organs.
The normal heart is a strong, muscular pump a little larger than a fist. It pumps blood continuously through the circulatory system.
Heart failure is a chronic, progressive condition in which the heart muscle is unable to pump enough blood through the heart to meet the body’s needs for blood and oxygen. Basically, the heart can’t keep up with its workload.
Heart failure may affect the left, right or both sides of the heart.
* If the left half of the heart fails (left ventricular failure), fluid will build up in the lungs due to congestion of the veins in the lungs.
* If the right half of the heart fails (right ventricular failure), general body vein pressure will increase and fluid will accumulate in the body, especially in the legs and in the abdominal organs, with the liver most likely to be affected.
Often left heart failure leads to right heart failure, causing biventricular failure (failure on both sides).
As a result of those failures, symptoms can be due to:
1. Forward Heart Failure – The inability of the heart to pump blood at a sufficient rate to meet the oxygen demands of the body at rest or at exercise.
2. Backward Heart Failure – The ability of the heart to pump blood at a sufficient rate ONLY when heart filling pressures are abnormally high.
3. Congestive Heart Failure – Fluid in the lungs or body, resulting from inadequate pumping from the heart and high heart filling and venous pressures.














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