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CONGESTIVE HEART FAILURE (LEFT SIDED (Causes (Ischaemia
Myocardial…
CONGESTIVE HEART FAILURE
LEFT SIDED
Causes
-
HTN
- Concentric Hypertrophy
- Increase in mm. mass increases O2 demand
DILATED CARDIOMYOPATHY
- POOR CONTRACTILITY
- VOLUME LOADED LV (THRUSTING)
- DISPLACED APEX BEAT
RESTRICTIVE CARDIOMYOPATHY
- Decreased ability to fill the heart
- Assoc. c Amyloidosis
- Deposition of abnormal proteins in the wall of the heart
- Decreasing compliance of filling
HYPERTROPHIC CARDIOMYOPATHY
- AORTIC STENOSIS
- HTN
- HOCM (GENETIC)
Complications
Pulmonary Congestion
- Pulmonary Edema
- Dyspnea
- PND
- Orthopnea
- Crackles
Heart Failure Cells
- Capillaries Rupture
- Fe is Phagocytosed by Alveolar Macrophages
- "Haemosiderin Laden Cells"
Decreased Forward Perfusion
- Decreased Systemic BP
- Activation of RAS
-
RIGHT SIDED
-
Clinical Features
-
Painful Hepatosplenomegaly
- Nutmeg Liver
- "Cardiac" Cirrhosis
Pitting Edema
- Hydrostatic Pressure > Osmotic Pressure