Pathophysiology of Congestive Heart Failure

Modifiable Factors
Lifestyle: History of alcohol intake
Diagnosed Cardiomegaly (2003)
Mitral Regurgitation

Non Modifiable Factors

Gender: Female
Age: 66 years old
Nationality: Filipino

Stress
Cardiovascular System
Chronic Exposure to factors affecting the Cardiovascular System
Reduces Efficiency of Myocardium through damage and overloading
Systemic Vascular Resistance

Systemic BP

Stimulation of Adrenergic System

Force of LV Contraction

HR and

contractility
Peripheral Artery Constriction

LV Workload
Coronary Artery Constriction
LV Oxygen Demand

Epinephrine Release

Chest Pain

LV Hypoxia

Oxygen

Supply
Systemic BP
Cerebral Perfusion
ADH
Dizziness

Force of LV Contraction

Renal Blood Flow

Renin
Angiotensin
Aldosterone

LV End Diastolic Volume

LV Preload

LV Failure

Fainting

LA Preload
Pulmonary Edema

Pulmonary

Congestion
Cough
Pulmonary Vascular Resistance
Dyspnea
Sodium and Water
Retention

RV Failure
RV Preload

Peripheral Edema

Cardiac Output
Ventricular Remodeling
Progressive Loss of Cardiac

Output
Myocardial Hypertrophy
Loss of Myocytes
Legend:
- Etiologic Factors
- Organ/System Affected

Congestive Heart Failure

Disease Flow
Possible Complications and other
Signs and Symptoms
Disease Process
Presented Signs and Symptoms
Compensatory Mechanism
Chronic Heart Failure without Treatment results to

Disease
Possible Complications and other signs and symptoms

Cardiovascular System
Respiratory System
Cerebrovascular System
Urinary System
- Tachycardia
- Dyspnea
- Dizziness
- Na and H2O
Retention
- Angina Pectoris
- Shortness of Breath
- Lightheadedness
- Oliguria
- Hypertension
- Pulmonary Infections (CAP)
- Headache
Anuria
- Myocardial Infarction
- White colored sputum
- Fainting
Urinary Tract Infection
- Hypotension
- Atelectasis
- Decrease LOC
- Pericardial Effusion
- Respiratory Arrest
- Cerebrovascular Accident
- Decrease Cardiac Output
- Myocardial Hypertrophy
- Cardiovascular Arrest