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Heart failure (HF), also known as congestive heart failure (CHF), is a syndrome caused by an impairment in the heart's ability to fill with and pump blood. Although symptoms vary based on which side of the heart is affected, HF typically presents with shortness of breath, excessive fatigue, and bilateral leg swelling. [3]
The paradoxical increase of the JVP with inspiration (instead of the expected decrease) is referred to as the Kussmaul sign, and indicates impaired filling of the right ventricle. The differential diagnosis of Kussmaul's sign includes constrictive pericarditis, restrictive cardiomyopathy, pericardial effusion, and severe right-sided heart failure.
3D still showing normal heart vs heart failure. A myocardial infarction may compromise the function of the heart as a pump for the circulation , a state called heart failure . There are different types of heart failure; left- or right-sided (or bilateral) heart failure may occur depending on the affected part of the heart, and it is a low ...
If large enough, the clot increases the load on the right side of the heart. The right ventricle must work harder to pump blood to the lungs. With back-up of blood, the right ventricle can begin to dilate. Right heart failure can ensue, leading to shock and death. [18] A PE is considered "massive" when it causes hypotension or shock.
Pulsus alternans is a physical finding with arterial pulse waveform showing alternating strong and weak beats. [1] It is almost always indicative of left ventricular systolic impairment, and carries a poor prognosis.
This, just like before, makes it harder for the right side of the heart to pump against and can lead to right-sided hypertrophy and heart failure. When chronic lung disease leads to right-sided hypertrophy and failure, it’s known as cor pulmonale. With left-sided failure, blood gets backed up into the lungs.
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