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A 60 year old woman with a history of obesity and DM II (type 2 diabetes)…
A 60 year old woman with a history of obesity and DM II (type 2 diabetes) has experienced a myocardial infarction (heart attack) that caused permanent damage to the papillary muscle of the left ventricle, resulting in a failure of the mitral valve to close. Her blood pressure is 95/55 and her breathing rate is about 30 breaths per minute. Her heart rate is 125 beats per minute, and her breathing is labored along with a gurgling sound when you listen through a stethoscope.
Background Information
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Terminology
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Stroke volume
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Not all the blood typically, but usually 2/3 of the blood inside the ventricle
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Preload
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The greater the preload, the greater volume of blood in the heart at the end of diastole
Afterload
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As aortic and pulmonary pressure increase, afterload in the right and left ventricles increase too
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Upstream Causes
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Direct Factors
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Also age, means her heart does not easily bounce back when damaged