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Acute coronary syndrome, Heart failure (HF), Left to right cardiac shunt,…

- - - - Heart attack due to total blockage or artery
- - - - Congestive Heart Failure
- - - - usually caused by systolic HF
        
        ischaemic heart disease, damage to myocardium
        
        HR
        
        left ventricle scar tissue
        
        further reduce in contractility
  - - - due to pulmonary oedema
    - - Systemic vein congestion
        
        jugular venous distention
        
        jugular vein enlarged
      - Hepato spleno megaly (liver, spleen)
        
        Cerosis and liver failure
        
        Fluid build up in peritoneal space
        
        Ascites
      - Pitting Oedema
- - - - systolic dysfunciton
      - smaller volume
        
        diastolic dysfunciton
- - - - increase O2 demand (due to increased cells)
      - coronaries squeesed down, reducing blood flow to myocardium
        
        weaker ventricular contraction
        
        causing
- - - - increase contraction strenght
        
        ventricular muscle wall gets thinner and weaker
- - - - Diastolic HF
- - - - increased pulmonary blood pressure
        
        difficulty to pump in the right side
        
        hypertrophy & failure
        
        leading to