10722077
Description
Mind Map by mohammed mansour, updated more than 1 year ago
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Created by mohammed mansour
almost 7 years ago
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Aisha’s not feeling so good
(Heart failure)
- Heart Development
- Edema
- Increased hydrostatic pi
Hypoalbuminemia
- Increased permeability
Lymphatic obstruction
- Increased hydrostatic pi
Hypoalbuminemia
- 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
- 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.
- 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
- Increase sympathetic activity
renin-angiotensin-aldosterone
system Myocardial hypertrophy
- Inability of the heart to
keep up with the demands
on it, with failure of the
heart to pump blood with
normal efficiency.
- Physical examination
- Vital signs
- Jugular
Vein
- Lungs
- Hyperdynamic Apical Impulse
- Vital signs
- Investigations
- Chest
X-Ray
- Echocardiography
- preferred examination in CHF
- preferred examination in CHF
- Electrocaardiogram
- common finding include: sinus Arrhythmia,
pathological Q waves, ST elevation, LBBB,
intraventricular conduction delays.
- common finding include: sinus Arrhythmia,
pathological Q waves, ST elevation, LBBB,
intraventricular conduction delays.
- Chest
X-Ray
- 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
- Treat the cause and precipitating factor
- Life style
- Pharmacological
therapy
- Heart Sounds
- Pathogenesis
- Left HF
- Ischemia, MI, Hypertension,
Dilated cardiomyopathy,
Restrictive cardiomyopathy,
Hypertrophic cardiomyopathy.
- Ischemia, MI, Hypertension,
Dilated cardiomyopathy,
Restrictive cardiomyopathy,
Hypertrophic cardiomyopathy.
- Right HF
- Left HF, Left to
right shunt, Cor
pulmonale.
- Left HF, Left to
right shunt, Cor
pulmonale.
- Concentric hypertrophy
in pressure overload
- eccentric
hypertrophy in
volume overload
- Left HF
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