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10722077
Aisha’s not feeling so good (Heart failure)
Description
Mind Map on Aisha’s not feeling so good (Heart failure), created by mohammed mansour on 05/10/2017.
Mind Map by
mohammed mansour
, updated more than 1 year ago
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Created by
mohammed mansour
over 6 years ago
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Resource summary
Aisha’s not feeling so good (Heart failure)
Heart Development
Edema
Increased hydrostatic pi Hypoalbuminemia
Increased permeability Lymphatic obstruction
Congestive heart failure
Inability of the heart to keep up with the demands on it, with failure of the heart to pump blood with normal efficiency.
Left HF
Right HF
Signs & symptoms
Dyspnea, Orthopnea, Fatigue, Swelling, Irregular heartbeat, Persistent cough (with blood), Chest pain
Risk factors
High blood pressure, Coronary artery disease, Heart attack, Congenital heart defect, Valvular heart disease, Alcohol and tobacco.
Compensatory physiological response
Increase sympathetic activity renin-angiotensin-aldosterone system Myocardial hypertrophy
Physical examination
Vital signs
Jugular Vein
Lungs
Hyperdynamic Apical Impulse
Investigations
Chest X-Ray
Echocardiography
preferred examination in CHF
Electrocaardiogram
common finding include: sinus Arrhythmia, pathological Q waves, ST elevation, LBBB, intraventricular conduction delays.
Management
Pharmacological therapy
Treat the cause and precipitating factor
1. Digitalis glycosides (Digoxin) 2. Phosphodiestrase inhibitors 3. Dobutamine and Dopamine 4. Human Natriuretic Peptide 5. Endothelin R Antagonists
Cardio-inotropic drugs
Life style
Heart Sounds
Pathogenesis
Left HF
Ischemia, MI, Hypertension, Dilated cardiomyopathy, Restrictive cardiomyopathy, Hypertrophic cardiomyopathy.
Right HF
Left HF, Left to right shunt, Cor pulmonale.
Concentric hypertrophy in pressure overload
eccentric hypertrophy in volume overload
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