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PATHOPHYSIOLOGY

CONGESTIVE HEART FAILURE

A 71 year old with family history of


Sedentary Lifestyle fund of eating fatty
hypertension and diabetes mellitus Affectation of the rhythm of the heart
foods and a smoker

Hypercholesterolemia (309 mg/dl) and


Increase triglyceride (231 mg/dl)
Direct damage to heart muscle

Increase contraction of the heart


muscle

Left side of the heart cannot pump adequately to the aorta to different parts of the body

Blood dams back to the Fluid overload in the heart decrease stroke
pulmonary capillary bed volume

Increase pressure of the Heart compensates to meet the need of the tissues
Decrease blood
blood into the capillary supply
beds
Activation of autonomic nervous system
Decrease tissue
Fluid ships into the oxygenation
intravascular and Constriction of blood vessel
internal spaces
Affectation of the hypothalamus
Secretion of
antidiuretic hormone

Pulmonary congestion Increase hydrostatic


pressure

Increase Peripheral
Increase BP-
Bipedal edema Vascular Resistance
180/100
Wheezing Dyspnea

Affectation of renal function renal perfusion


Cough fatigue orthopnea

Activation of Renin
Angiotensin
production of RBC Albuminuria/Glucosuria Aldosterone
system

Increase hemoglobin in the fluid retention/


blood (Hgb-9.4mg/dl)(Hct-29.2) water reabsorption

Ascites