Heart Failure

Group members: ,[object Object],[object Object],[object Object],[object Object],03/17/11

NORMAL HEART HEART FAILURE 03/17/11

INTRODUCTION ,[object Object],[object Object],[object Object],03/17/11

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Cardiac Physiology (remember this?) ,[object Object],[object Object],[object Object],Preload Contractility Afterload Stroke Volume Heart Rate Cardiac Output 03/17/11

Preload ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],03/17/11

Afterload ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],03/17/11

Contractility ,[object Object],[object Object],[object Object],[object Object],03/17/11

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],03/17/11

ENDOCARDITIS PERICARDITIS 03/17/11

NORMAL HEART HYPERTROPHIED HEART 03/17/11

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[object Object],[object Object],[object Object],[object Object],[object Object],03/17/11

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],03/17/11

TYPES OF HEART FAILURE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],03/17/11

Left versus Right Failure ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],03/17/11

Bilateral pulmonary effusion in right heart failure Pitting edema of the ankle. 03/17/11

The renin–angiotensin–aldosterone system ,[object Object],[object Object],[object Object],[object Object],03/17/11

THE RENIN ANGIOTENSIN ALDOSTERONE SYSTEM ACE ACE INHIBITORS JGA RENIN ADRENAL ALDOSTERONE ANGIOTENSINOGEN ANGIOTENSIN 1 ANGIOTENSIN 2 VASOCONSTRICTS Na RETENTION INCREASED BP 03/17/11

Systolic versus Diastolic ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],03/17/11

DIASTOLIC HEART FAILURE SYSTOLIC HEART FAILURE 03/17/11

ACUTE MITRAL REGURGITATION CHRONIC MITRAL REGURGITATION 03/17/11

Acute versus Chronic ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],03/17/11

Functional classification of Heart Failure by New York Heart Association 03/17/11 Class % of patients Symptoms I 35% No symptoms or limitations in ordinary physical activity II 35% Mild symptoms and slight limitation during ordinary activity III 25% Marked limitation in activity even during minimal activity. Comfortable only at rest IV 5% Severe limitation. Experiences symptoms even at rest

Pathophysiology of the Heart Failure ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],03/17/11

[object Object],[object Object],[object Object],[object Object],[object Object],Pathophysiology of the Heart Failure 03/17/11

Frank-starling Mechanism ,[object Object],Stroke volume End-Diastolic volume Maximum capacity to produce stroke volume Normal range: stroke volume increases with end-diastolic volume 03/17/11

An overall view of Heart Failure 03/17/11

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Signs and Symptoms of Heart Failure 03/17/11

[object Object],[object Object],[object Object],[object Object],[object Object],Signs and Symptoms of Heart Failure 03/17/11

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Signs and Symptoms of Heart Failure 03/17/11

Clinical Data ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],03/17/11

Cardiomyopathy Pulmonary Edema 03/17/11

Clinical Data ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Mitral Stenosis 03/17/11

Clinical Data ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],03/17/11

Modified Framingham Criteria Diagnosis for Heart Failure ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],03/17/11

[object Object],[object Object],[object Object],[object Object],Treatment Options 03/17/11

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Lifestyle Changes 03/17/11

[object Object],[object Object],[object Object],[object Object],Lifestyle Changes 03/17/11

[object Object],[object Object],[object Object],[object Object],Medications used to treat Heart Failure 03/17/11

[object Object],[object Object],[object Object],[object Object],[object Object],Medications used to treat Heart Failure 03/17/11

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Medications used to treat Heart Failure 03/17/11

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Treatment Options 03/17/11

Incidence of Heart Failure and its Prognosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],03/17/11

Thank you for listening!!! ,[object Object],03/17/11

Heart Failure

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