
Eight Major Triggers of Heart Failure
I suddenly experienced difficulty breathing and swelling in both lower limbs, and was diagnosed with left heart failure. May I ask, what are the eight major triggers of heart failure?

The pathogenesis of heart failure is complex. The following are the eight common triggers of heart failure:
1. Arrhythmias: Particularly rapid supraventricular arrhythmias, such as atrial fibrillation and atrial flutter, can affect the heart's pumping function and thereby trigger heart failure.
2. Infections: Especially respiratory infections such as viral or toxic myocarditis, can directly damage the myocardium or indirectly affect cardiac function by increasing the cardiac workload.
3. Cardiomyopathy: Including dilated, hypertrophic, and restrictive cardiomyopathy, structural abnormalities of the myocardium directly impair the heart's pumping function.
4. Heart valve disease: Valve abnormalities such as mitral regurgitation and aortic stenosis can disrupt normal blood flow through the heart, leading to heart failure.
5. Anemia: In anemia, the oxygen-carrying capacity of blood decreases, forcing the heart to beat faster to compensate for the oxygen deficiency. Long-term strain may lead to myocardial damage.
6. Metabolic disorders: Conditions such as diabetes and thyroid dysfunction can indirectly lead to heart failure by affecting cardiac metabolism and vascular function.
7. Medication effects: Certain medications, such as beta blockers and quinidine, may have inhibitory effects on cardiac function.
8. Hypertension: Long-standing hypertension increases the workload on the heart, leading to left ventricular hypertrophy and eventually impairing cardiac function.