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Terms in this set (112)
Function of the Heart The overall strength and health of the heart muscle
affects how well it pumps blood.
Function of the Heart This is accomplished by the heart muscle contracting,
The heart functions as a pump. It is called systole, and relaxing, called diastole. The
responsible for delivering oxygen and overall strength and health of the heart muscle
nutrients to the organs of the body via affects how well it pumps blood.
arterial circulation and removing the
waste products of metabolism via
venous circulation
What is heart failure? Impaired heart function; the ventricle is unable to
maintain a cardiac output sufficient to meet the
metabolic needs of the body
Heart failure/Pump failure, is the because it is a poor pump or there is poor filling
inability of the heart to function It does not allow adequate Cardiac output to meet
properly; the ventricles are not able the demands of the body which are blood, nutrients
to maintain cardiac output and oxygen.
We used to refer to Heart Failure as however we are trying to get away from using CHF
Congested Heart Failure because heart failure is more than just Congestion in
the heart as you will see in coming slides.
,Heart failure happens when the heart pump enough blood and oxygen to support other
cannot organs in your body. Heart failure is a serious
condition
Systole Contraction of the heart
Diastole relaxation phase of the heartbeat
systolic pressure Blood pressure in the arteries during contraction of
the ventricles.
diastolic pressure Blood pressure that remains between heart
contractions.
Heart Failure 550,000 new cases each year are diagnosed
Most common cause of About half of people who develop heart failure die
hospitalization in patients over 65 within 5 years of diagnosis.
Increasing in incidence African Americans affected more than Euro-
5.7 million adults in the U.S. Americans d/t more risk factors
From the CDC (2017) Heart Failure Heart failure costs the nation an estimated $30.7
Fact Sheet: billion each year.3 This total includes the cost of
About 5.7 million adults in the United health care services, medications to treat heart
States have heart failure.1 failure, and missed days of work.
One in 9 deaths in 2009 included
heart failure as contributing cause.1
About half of people who develop
heart failure die within 5 years of
diagnosis.1
Risk Factors For HF Smoking
Any disease/condition that damages Eating foods high in fat, cholesterol, and sodium
your heart Obesity
Hypertension-Coronary Artery Impaired kidneys
Disease (CAD)
Myocardial Infarction-Diabetes
, Risk Factors for Heart Failure from the Unhealthy behaviors can also increase your risk for
CDC: heart failure, especially for people who have one of
Diseases that damage your heart also the diseases listed above. Unhealthy behaviors
increase your risk for heart failure. include
(Lyme's disease for example, or valve Smoking tobacco.
disease.) Some of other diseases Eating foods high in fat, cholesterol, and sodium.
include: Not getting enough physical activity.
Coronary artery disease and heart Being obese.
attacks.-High blood pressure.
Diabetes.
Preload/Afterload Preload affects the amount of blood going into Right
ventricle. Afterload is the systemic resistance after
leaving the heart.
Preload precontraction The precontraction pressure in the heart as the
volume of blood builds up.
preload, contractility, afterload 3 factors that affect stroke volume
Preload volume volume of blood in ventricles at end of diastole
Preload is increased in hypervolemia, regurgitation of cardiac valves, heart
failure
Afterload definition .
Defined as the tension on the SVR is calculated by dividing the pressure drop
myocardial fibers in systole and is the across the systemic circuit (mean arterial pressure
resistance that the ventricle must minus right atrial pressure) by CO. By convention, this
overcome in order to eject blood. is multiplied by 80 for the units of dynes/sec/cm-5.
Approximated by the systolic BP or,
more accurately, by calculating
systemic vascular resistance (SVR)
Afterload The force or resistance against which the heart
pumps.
Afterload is increased in: hypertension, vasoconstriction