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Pa Tho 1

The document describes the pathophysiology of right-sided and left-sided congestive heart failure. For right-sided failure, decreased emptying of the right ventricle leads to increased volumes and pressures in the right side of the heart, veins, liver and spleen, and dependent edema. For left-sided failure, decreased emptying of the left ventricle results in increased volumes and pressures on the left side, decreased cardiac output and tissue perfusion, fluid buildup in the lungs causing pulmonary edema.

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bernabe2012
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0% found this document useful (0 votes)
27 views2 pages

Pa Tho 1

The document describes the pathophysiology of right-sided and left-sided congestive heart failure. For right-sided failure, decreased emptying of the right ventricle leads to increased volumes and pressures in the right side of the heart, veins, liver and spleen, and dependent edema. For left-sided failure, decreased emptying of the left ventricle results in increased volumes and pressures on the left side, decreased cardiac output and tissue perfusion, fluid buildup in the lungs causing pulmonary edema.

Uploaded by

bernabe2012
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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Download as DOCX, PDF, TXT or read online on Scribd
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RIGHT CONGESTIVE

HEART FAILURE

Decrease emptying of the Decrease volume from the


left ventricle right ventricle to the lungs

Increase volume and end-


Decrease return to the left
diastolic pressure in right
atrium and subsequent
ventricle
decrease cardiac output

Increase volume/pressure
in right atrium and pressure Production of renin
in the great veins

Increase volume in
systemic venous circulation Increase blood pressure

Increase volume in
distensible organ
(spleen/liver)

Increase pressure in
capillary line

Dependent edema
LEFT CONGESTIVE
HEART FAILURE

Decrease emptying of
the left ventricle

Increase volume and end Decrease cardiac output


diastole pressure in left
ventricle

Decrease perfusion of
Increase volume/pressure tissue of the body
in left atrium

Increase volume in Decrease blood flow to


pulmonary veins kidneys and glands

Increase volume in
pulmonary capillary bed Increase reabdsorption of
Na and H2O and
vasoconstriction

Passage of fluid from


capillaries to interstitial Increase extracellular fluid
spaces of alveoli (ECF)

Rapid filling of alveolar


Increase total volume and
spaces
increase systemic blood
pressure

Pulmonary Edema

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