Pathophysiology of Congestive Heart Failure Etiology:
Risk Factors: Age: 65 and up Race: African-Americans Gender: More common in male Family history of Cardiovascular Diseases Smoking Substance Abuse
Primary risk factors Coronary artery disease (CAD) Advancing age Contributing risk factors Hypertension Diabetes Tobacco use Obesity High serum cholesterol African American descent Valvular heart disease Hypervolemia
Cardiovascular System Chronic Exposure to factors affecting the Cardiovascular System Reduces Efficiency of Myocardium through damage and overloading Systemic Vascular Resistance Stimulation of Adrenergic System Force of LV Contraction Peripheral Artery Constriction LV Workload Coronary Artery Constriction LV Oxygen Demand Epinephrine Release Systemic BP ADH Renal Blood Flow Renin Angiotensin Aldosterone Chest Pain LV Hypoxia Force of LV Contraction LV End Diastolic Volume LV Preload LA Preload Pulmonary Edema Pulmonary Vascular Resistance Sodium and Water Retention Peripheral Edema RV Failure RV Preload Cardiac Output Ventricular Remodeling Progressive Loss of Cardiac Output Myocardial Hypertrophy Pulmonary Congestion Cough Dyspnea LV Failure Oxygen Supply Cerebral Perfusion Dizziness Fainting HR and contractility Systemic BP
Loss of Myocytes
Congestive Heart Failure
Possible Complications and other Signs and Symptoms
Cardiovascular System - Tachycardia - Angina Pectoris - Hypertension - Myocardial Infarction - Hypotension - Pericardial Effusion - Decrease Cardiac Output - Myocardial Hypertrophy - Cardiovascular Arrest
Respiratory System - Dyspnea - Shortness of Breath - Pulmonary Infections (CAP) - White colored sputum - Atelectasis - Respiratory Arrest
Cerebrovascular System - Dizziness - Lightheadedness - Headache - Fainting - Decrease LOC - Cerebrovascular Accident
Urinary System - Na and H2O Retention - Oliguria - Anuria - Urinary Tract Infection
Legend: Etiologic Factors Organ/System Affected Disease Flow Disease Process Presented Signs and Symptoms Compensatory Mechanism Chronic Heart Failure without Treatment results to Disease Possible Complications and other signs and symptoms