Chronic Congestive Cardiac Failure (CCCF
1. Definition
Chronic Congestive Cardiac Failure (CCCF) is a long-term condition in which the heart cannot
pump enough blood to meet the body’s needs. Because of poor pumping, blood backs up in the
lungs and other body parts, causing congestion and swelling.
2. Types
1. Left-sided heart failure – Blood backs up into lungs.
2. Right-sided heart failure – Blood backs up into body tissues.
3. Biventricular failure – Both sides affected.
4. Systolic failure – Weak pumping action.
5. Diastolic failure – Problem in heart filling.
3. Causes & Risk Factors
A. Causes
• Congenital heart defects (ASD, VSD, PDA)
• Severe anemia
• Infections (myocarditis)
• Arrhythmias
• Cardiomyopathy
B. Risk Factors
1. Modifiable Risk Factors
• Maternal smoking during pregnancy
• Alcohol intake during pregnancy
• Poor maternal nutrition
• Uncontrolled maternal diabetes
• Infections during pregnancy (Rubella)
2. Non-modifiable Risk Factors
• Genetic factors
• Family history of congenital heart disease
• Chromosomal abnormalities (e.g., Down syndrome)
• Advanced maternal age
4. Clinical Manifestations
• Dyspnea (shortness of breath)
• Orthopnea
• Paroxysmal nocturnal dyspnea
• Fatigue
1. Definition
Chronic Congestive Cardiac Failure (CCCF) is a long-term condition in which the heart cannot
pump enough blood to meet the body’s needs. Because of poor pumping, blood backs up in the
lungs and other body parts, causing congestion and swelling.
2. Types
1. Left-sided heart failure – Blood backs up into lungs.
2. Right-sided heart failure – Blood backs up into body tissues.
3. Biventricular failure – Both sides affected.
4. Systolic failure – Weak pumping action.
5. Diastolic failure – Problem in heart filling.
3. Causes & Risk Factors
A. Causes
• Congenital heart defects (ASD, VSD, PDA)
• Severe anemia
• Infections (myocarditis)
• Arrhythmias
• Cardiomyopathy
B. Risk Factors
1. Modifiable Risk Factors
• Maternal smoking during pregnancy
• Alcohol intake during pregnancy
• Poor maternal nutrition
• Uncontrolled maternal diabetes
• Infections during pregnancy (Rubella)
2. Non-modifiable Risk Factors
• Genetic factors
• Family history of congenital heart disease
• Chromosomal abnormalities (e.g., Down syndrome)
• Advanced maternal age
4. Clinical Manifestations
• Dyspnea (shortness of breath)
• Orthopnea
• Paroxysmal nocturnal dyspnea
• Fatigue
