Heart Failure Flashcards
Contractibility
How well the heart can stretch
Cardiac Output (CO)
Heart rate and stroke volume
A large heart is …
bad
Systolic failure
Pump problem!
Inability to pump blood forward
Causes of systolic failure
Cardiac myopathy, increased after load, impaired contractile function, and mechanical abnormalities
Systolic Failure Affect
Decreased LV ejection fraction (EF)
Less than 45%
Normal EF
55-60%
EF
How much volume can be pumped out of the heart
Diastolic Failure
Fill problem!
Impaired ability of the ventricles to relax and fill
Causes of diastolic failure
Left ventricular hypertrophy, R/T hypotension, older age, female, diabetes, obesity
Diastolic failure affect
Decreased SV and CO
Preserved EF
Volume problem =
Increased HR compensation
Right sided heart failure
cor pulmonal
RV does not PUMP effectively
Fluid backs up into venous system, and it moves into tissues and organs
Right sided heart failure cause
left sided heart failure most common
Resp issues
Simple Right sided HF
Can’t pump into the lungs, backs up into body, fluid overload leads to edema