Heart Disease
Specialist in coronary heart disease
Heart failure is not sudden cardiac death.
We have a home visit nursing station "Hearty" and a cardiac rehabilitation station "Revive", and we strive to treat heart failure.
Hypertension
Hypertension, along with smoking, is a very important risk factor for life-threatening diseases such as stroke, coronary artery disease, and aortic aneurysms. We always aim for good control.
Valvular heart disease
With the aging of society, valvular heart disease such as aortic stenosis and mitral regurgitation are increasing. Echocardiography is used to evaluate valve disease. It is also used in determining the timing of surgery and post-operative follow-up.
Cardiomyopathy
Dilated cardiomyopathy, in which the lumen of the heart dilates and reduces contractility, and hypertrophic cardiomyopathy, in which the heart muscle becomes enlarged, are diagnosed by echocardiography. (Cardiac catheterization may be necessary.) Heart failure and dangerous arrhythmia are likely, and medication and careful observation are required.
Angina pectoris
If angina pectoris is suspected after diagnosis, exercise testing is performed on a treadmill. If the exercise ECG changes, the coronary arteries supplying blood to the heart are probably extremely narrowed, requiring coronary angiography or catheterization. If the stress ECG is normal and angina pectoris is diagnosed during the conversation, medication is started. However, if there is a risk of early myocardial infarction, emergency hospitalization may be required.
Blood pressure measurement
・Blood pressure is measured by a nurse, not by a machine, through auscultation.
・Measurements are taken in a relaxed, resting state using a reclining chair.
・Another advantage is that the nurse can observe the patient's overall condition.
・Check for arrhythmia during auscultation.
Chronic heart failure
Heart failure is a disease in which the heart deteriorates, causing shortness of breath and swelling, which gradually worsens and shortens lifespan.
The number of heart failure patients in Japan is estimated to be approximately 1 million and increasing. This is because the number of elderly patients with heart failure is increasing due to lifestyle-related diseases such as hypertension and diabetes, in addition to a past history of cardiomyopathy, valvular heart disease, and myocardial infarction.
The 5-year survival rate for heart failure patients is said to be about 60%, but with improvements in lifestyle and care, it is possible to lead a natural life with less pain.
We have established a home visit nursing station "Hearty" and a cardiac rehabilitation station "Revive", and we strive to treat heart failure.
Heart failure and its risks
It is important for medical institutions to recognize the early symptoms of heart failure.
An increasing number of people are being diagnosed with heart failure on an outpatient basis due to heart failure symptoms (edema, shortness of breath, etc.), BNP levels, and echocardiography results.
Having symptoms of heart failure does not necessarily mean that the patient will be hospitalized for acute heart failure. Although chronic heart failure is not a curable disease, it is extremely important for patients and health care providers to prevent acute exacerbations and avoid repeated hospitalizations due to heart failure.
Heart hormone BNP
BNP is a hormone secreted primarily by ventricular muscle and increases when the heart is weakened, stressed, or when the myocardium is hypertrophied. BNP increases before symptoms appear and can be used for early diagnosis of heart failure. In addition, clinically understanding the state of heart failure is extremely useful for follow-up monitoring.
If the BNP is 100 or higher, you may have heart failure that requires treatment and an echocardiogram is required. A score of 200 or higher is more likely to cause heart failure. The diagnosis of heart failure should be based on subjective symptoms and echocardiographic findings, and should not be made based on BNP levels alone.
Home visit nursing station "Hearty"
To live a peaceful life at home
Our goal is
to support you as much as possible so you can live safely at home with your family.
The features of "Hearty"
We support people with heart disease, which is expected to continue increasing, and encourage heart-healthy lifestyles.
A special feature is that visiting caregivers can provide specialized guidance on lifestyle habits and environmental adjustment.
The effectiveness of rehabilitation for coronary heart disease has also been demonstrated, and physical therapists also provide rehabilitation at home.
Using nursing care insurance
This service is available to those who need home visit nursing care regardless of the time of disease.
【For those who wish to use the service】
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Please consult your family doctor, hospital caseworker, regional comprehensive support center or care manager to discuss your use of the service. The request will be sent to your care manager or family doctor based on the consultation.
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Your family doctor will send a referral of instruction to the home visit nursing station "Hearty". The frequency of the visit will be determined according to the level of care. Visits will then begin.
*The home visit nursing station "Hearty" will send reports and advice to the care manager. We will send a report and consultation to your family doctor.
Using medical insurance
This service is available to those who need home visit nursing care regardless of the time of disease.
【For those who wish to use the service】
Please consult with your family doctor regarding the use of this service. Your family doctor will send a referral of instruction to the home visit nursing station "Hearty". The frequency of the visit will be determined according to the level of care. Visits will then begin.
【Services】
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Observation of health condition
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Nursing care for daily life, nutrition and excretion care, cleanliness care
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Care to prevent bedriddenness
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Support for family members
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Counseling on anxiety and stress, and on nursing and caregiving methods
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Terminal care (palliative care for cancer, heart failure)
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Multidisciplinary cooperation
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Medical treatment for continuation of treatment
Area of visitation: All areas of Shizuoka City *Basically, the entire area of Shizuoka City is covered. Some mountainous areas and areas outside the 16km radius are available upon consultation.
