Scribd
Upload
3K views1 page

Pathophysiology of Congestive Heart Failure: Predisposing Factors Precipitating/Aggravating Factors

Congestive heart failure occurs when the heart can no longer pump enough blood to meet the body's needs. It develops from predisposing factors like age, family history, or precipitating factors such as coronary artery disease or hypertension. The initial event weakens the heart's pumping ability, stimulating compensatory mechanisms that lead to sodium and water retention. Over time, the weakened heart further deteriorates and becomes unable to maintain adequate cardiac output, resulting in blood backing up in the lungs or periphery and symptoms of left or right-sided heart failure.

Uploaded by

guillermojerry
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
3K views1 page

Pathophysiology of Congestive Heart Failure: Predisposing Factors Precipitating/Aggravating Factors

Congestive heart failure occurs when the heart can no longer pump enough blood to meet the body's needs. It develops from predisposing factors like age, family history, or precipitating factors such as coronary artery disease or hypertension. The initial event weakens the heart's pumping ability, stimulating compensatory mechanisms that lead to sodium and water retention. Over time, the weakened heart further deteriorates and becomes unable to maintain adequate cardiac output, resulting in blood backing up in the lungs or periphery and symptoms of left or right-sided heart failure.

Uploaded by

guillermojerry
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 1

PATHOPHYSIOLOGY OF CONGESTIVE HEART FAILURE

Predisposing Factors Precipitating/Aggravating Factors


Age, Gender, Family History Disease Process: Coronary Artery Disease, Myocardial
Infarction, Valvular Disease, Hpertension, Dysthrymia
Obesity, Sedentary lifestyle, Salt and Fats Diet

Stimulation of Renin-Angiotensin System Initial Event that pumping capacity

Angiotensin Stimulation of arterial chemoreceptors,baroreceptors and


cardiopulmonary baroreceptors

ADH Aldosterone Stimulation of Adrenergic


System,esp. norepinephrine

Sodium and Water Retention

Heart Rate and Peripheral and


Peripheral Contractility Vascular resistance
Weight
pulmonary
gain
edema
Myocardial Oxgen
Use Renal Afterload
Blood Flow
Preload Cardiac Output
BP
Ventricular Remodeling
Cool, pale
extremities
Progressive loss of cardiac output

Stimulation of Cytokine System

Myocardial Hypertrophy

Loss of Myocytes

CONGESTIVE HEART FAILURE


Left-sided Heart Failure Right-sided Heart Failure

Ineffective left ventricular contractility Ineffective right ventricular contractility

Failure of the left ventricular pumping ability Failure of the right ventricular pumping ability

Decrease cardiac output to the body Decreased cardiac output to the lungs

Blood back into left atrium and lungs Blood back into right atrium and peripheral circulation

Pulmonary congestion, dyspnea, activity intolerance Weight gain, peripheral edema, engorgement
of kidney and other organ
Pulmonary edema and right-sided heart heart failure

Bibliography/Source: Block, Joyce M. et al. Cardiac Disorders. Medical-Surgical Nursing.


Volume 2. 8 th edition, 2009,p.1433

You might also like

pFad - Phonifier reborn

Pfad - The Proxy pFad of © 2024 Garber Painting. All rights reserved.

Note: This service is not intended for secure transactions such as banking, social media, email, or purchasing. Use at your own risk. We assume no liability whatsoever for broken pages.


Alternative Proxies:

Alternative Proxy

pFad Proxy

pFad v3 Proxy

pFad v4 Proxy