Pathophysiology Diagram of Congestive Heart Failure
Pathophysiology Diagram of Congestive Heart Failure
Pathophysiology Diagram of Congestive Heart Failure
Risk Factors: Hypercholesterolemia Men (>45 years old) Women (>55 years old) Cigarette smoking Alcoholism Diabetes mellitus Obesity Physical inability sodium intake* Hereditary* Predisposing Factors: Hypertension* CAD*
Vasoconstricti on of coronary arteries Increase pressure of blood flow Injury of the endothelial vessel layer (coronary artery) Vessel damage Monocytes, platelets,cholesterol and other blood Scarrin g
afterloa
workloa d
force of
LV contractio
stress on
the left ventricular cardiac output Left ventricular Hypertroph Ventricular remodeling LV Hypoxia
Atherosclerosis
Brain
perfusion: dizziness, light headedness, confusion, anxiety, restlessness. Response to energy demands causing easily fatigued,
CA D cardiac
tissue blood flow
cardiac
muscle contraction Activation of baroreceptors in the LV, aortic
LV pressure
blood backflows from LV to
Cardiac
Output
Systemic
blood pressure
Stimulation of vasomotor regulatory centers in Activation of sympathetic nervous system catecolamin es (epinephrin
Perfusion of
tissues of the body
GFR
Renal
Proteinu ria, urea (8.0), crea (41.),
(Lung s) ACE
Hypothalam ADH Sodium and Water retention Pulmonary edema: dyspnea, cough, crackles, 2 pillow orthopnea
urine urine
osmot ic pressu
osmot ic output pressu Pulmonary edema: dyspnea, cough, crackles, 2 pillow orthopnea
HR
O2 saturation
RV force of RV contractio
residual
blood of the RV at the time of RV blood backflows from RV to RA RA
fluid moves
into the interstitial
venous
pressure JVD (07/24/08)