PATHOPYSIOLOGY

Left Ventricular Failure Right Ventricular Failure

-Ischemic Heart Disease -Pulmonic Valve Disease
-Myocarditis -Right Ventricular
-Valvular Heart Disease Infarction
-Restrictive Pericarditis -Tricuspid Regurgitation

COMPENSATORY
MECHANISM

Activation of Activation of Renin- Increased Myocardial

Norepinephrine and Angiotensin Aldosterone Contractility
Atrial natriuretic Mechanism

Increased Cardiac
Workload
Retention of Water and
Tachycardia
Sodium

Increased Cardiac
Workload

Further Stress on
Myocardium
Cell Stretching

CONGESTIVE HEART
COMPENSATORY
FAILURE
HYPERTROPHY AND
DILATION