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Congestive Heart Failure Pathophysiology

Chronic exposure to modifiable and non-modifiable factors that affect the cardiovascular system can reduce the efficiency of the myocardium through damage and overloading. This stimulates the adrenergic system and increases heart rate, contractility, and systemic vascular resistance, raising blood pressure and the workload on the left ventricle. Over time, this leads to left ventricular hypoxia, failure, and remodeling with progressive loss of cardiac output and the development of congestive heart failure. Without treatment, congestive heart failure can result in complications that affect the cardiovascular, respiratory, cerebrovascular, and urinary systems.

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100% found this document useful (2 votes)
5K views3 pages

Congestive Heart Failure Pathophysiology

Chronic exposure to modifiable and non-modifiable factors that affect the cardiovascular system can reduce the efficiency of the myocardium through damage and overloading. This stimulates the adrenergic system and increases heart rate, contractility, and systemic vascular resistance, raising blood pressure and the workload on the left ventricle. Over time, this leads to left ventricular hypoxia, failure, and remodeling with progressive loss of cardiac output and the development of congestive heart failure. Without treatment, congestive heart failure can result in complications that affect the cardiovascular, respiratory, cerebrovascular, and urinary systems.

Uploaded by

tinayko
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
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  • Pathophysiology of Congestive Heart Failure
  • Systemic Effects and Symptoms

Pathophysiology of Congestive Heart Failure

Modifiable Factors Non Modifiable Factors


Lifestyle: History of alcohol intake Gender: Female
Diagnosed Cardiomegaly (2003) Age: 66 years old
Mitral Regurgitation 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 Force of LV Contraction Cerebral Perfusion

ADH Renal Blood Flow LV End Diastolic Volume Dizziness

Renin LV Preload LV Failure Fainting

Angiotensin LA Preload

Aldosterone Pulmonary Edema Pulmonary Congestion


Cough
Pulmonary Vascular Resistance Dyspnea

Sodium and Water RV Failure


Retention
RV Preload
Peripheral Edema Cardiac Output

Ventricular Remodeling

Progressive Loss of Cardiac Output

Myocardial Hypertrophy

Loss of Myocytes

Legend: Congestive Heart Failure


- Etiologic Factors
- Organ/System Affected
- 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

Pathophysiology of Congestive Heart Failure
                   Modifiable Factors
Non Modifiable Factors
           Lifestyle
- 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 an

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