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PATHOPHYSIOLOGY: (Book -based)

Modifiable Factors:

Non-modifiable Factors:

Increase in age- 55 years old and


above
Gender- female

Sedentary lifestyle

Decreased elasticity of blood vessels and formation of plaques


on blood vessels
Narrowing of the blood vessels
Necrosis and scarring of the vascular endothelium
Impediment of blood flow to the body

Increased workload of the heart


Dilation of ventricles
Increased in preload

Increased stretching of myocardial muscle

Excessive stretching of myocardial muscle

Ineffective cardiac muscle contraction and increase O2 demand of


cardiac muscle cells

Decreased contraction of cardiac muscle

Decreased cardiac output and systemic perfusion


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Activation of neurohormonal pathways in order to increase circulating


blood vessel

Continued neurohormonal stimulation

Cardiac remodelling

Decreased blood filling

Increased stroke volume and decreased cardiac output

Increased wall tension

Inadequate perfusion

PALLOR

Decreased
blood flow to
the kidneys
Kidneys
produce
hormones
Salt and water
retention
EDEMA

Decreased
perfusion in the
coronary
arteries
Deprivation of
cardiac muscle
cells of nutrients
needed for
survival

Increase
pulmonary
pressure

Separation of
mitral valve
leaflets

FATIGUE &
WEAKNESS

Increase
pulmonary
pressure
Impaired left
ventricular
relaxation

Normal Balance
between oxygen
supply and demand
is disrupted

Increase diastolic
pressure exceeding
hydrostatic &
osmotic pressure in
pulmonary
capillaries

ISCHEMIA

Increased
capillary
pressure in the

Conversion of
aerobic
metabolism to
anaerobic

Causes reduced
contractility

Decreases
the hearts
ability to

Fluid shifts from the


circulating blood
into the interstitium,
bronchioles, bronchi
& alveoli

Decreased
adenosine
phosphate
Increased lactic
acid production

Decreased lung
expansion

Pulmonary
Congestion
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BRADYCARDIA

Irritation of
myocardial cells

CHEST PAIN
POSITIVE
TROPONIN T

DYSPNEA

Fluid trapped in
pulmonary
trees
BILATERAL
CRACKLES

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