> For the complete documentation index, see [llms.txt](https://thisispiggy.gitbook.io/my-wiki/llms.txt). Markdown versions of documentation pages are available by appending `.md` to page URLs; this page is available as [Markdown](https://thisispiggy.gitbook.io/my-wiki/01-step-1/cardiology/25-systolic-diastolic-hf.md).

# 25 Systolic Diastolic HF

## Overview

[\_](https://github.com/thisispiggy/my-wiki/tree/601ff771dc2fac1318ae8b59435ac8485628fd81/01%20Step%201/Cardiology/systolic%20vs%20diastolic%20HF%20symptoms,%20heart%20structures,%20PV%20curves/README.md)..

![](https://f001.backblazeb2.com/file/wikiFiles/dk5K8dl.jpg)

* left: can't squeeze at all
* both similar signs and symptoms

![](https://f001.backblazeb2.com/file/wikiFiles/Xu3deJp.jpg)

* low CO signs only in end stage systolic

![](https://f001.backblazeb2.com/file/wikiFiles/JL0HNv8.jpg)

![](https://f001.backblazeb2.com/file/wikiFiles/FqKEx9C.jpg)

![](https://f001.backblazeb2.com/file/wikiFiles/3Ou3vYw.jpg)

## Systolic

[\_](https://github.com/thisispiggy/my-wiki/tree/601ff771dc2fac1318ae8b59435ac8485628fd81/01%20Step%201/Cardiology/systolic%20HF%20PV%20curve,%20starling%20curve/README.md)..

![](https://f001.backblazeb2.com/file/wikiFiles/vdVYcZ4.jpg)

* VR: venous return
* move to the right on end diastolic volume line, but also moves a little higher (higher pressure)
* major problem is volume increase. Pressure increase a little

![](https://f001.backblazeb2.com/file/wikiFiles/VxHmpBi.jpg)

[\_](https://github.com/thisispiggy/my-wiki/tree/601ff771dc2fac1318ae8b59435ac8485628fd81/01%20Step%201/Cardiology/systolic%20HF%20causes/README.md)..

![](https://f001.backblazeb2.com/file/wikiFiles/OEiuE4d.jpg)

### Nonischemic Cardiomyopathy

[\_](https://github.com/thisispiggy/my-wiki/tree/601ff771dc2fac1318ae8b59435ac8485628fd81/01%20Step%201/Cardiology/causes%20of%20nonischemic%20cardiomyopathy/README.md)..

* Selenium

![](https://f001.backblazeb2.com/file/wikiFiles/C2JzHXG.jpg)

![](https://f001.backblazeb2.com/file/wikiFiles/ghsHNVq.jpg)

* Coxsackie B
* floppy bags of seeds: Dilated cardiomyopathy
* zoo keeper grab: "Devil's grip = Bornholm's disease / pleurodynia" Strange sharp pain in unilateral lower chest

![](https://f001.backblazeb2.com/file/wikiFiles/O3Jr23b.jpg)

* asympatomatic acutely. Symptoms several years later
* swollen colon: Megacolon with constipation
* Tunneled up mole:  Burrows into endocardium
* floppy heart on bike: Dilated cardiomyopathy
* snake with dilated snake: Mega-esophagus

![](https://f001.backblazeb2.com/file/wikiFiles/ijOEkI0.jpg)

![](https://f001.backblazeb2.com/file/wikiFiles/V2A3VaJ.jpg)

![](https://f001.backblazeb2.com/file/wikiFiles/9DKVw07.jpg)

* Rubies: “-rubicin” suffix of anthracyclines (e.g. doxorubicin, daunorubicin)
* Dilated heart ruby sacks: anthracyclines (e.g. doxorubicin) can cause cardiotoxicity (e.g. dilated cardiomyopathy). Free radicals

![](https://f001.backblazeb2.com/file/wikiFiles/w5fqi1m.jpg)

![](https://f001.backblazeb2.com/file/wikiFiles/eKaL97Z.jpg)

![](https://f001.backblazeb2.com/file/wikiFiles/8dmUpth.jpg)

* normal angiogram
* base contracts normally, apex doesn't
* common in japan

![](https://f001.backblazeb2.com/file/wikiFiles/wugfXDe.jpg)

* alcoholic cardiomyopathy

![](https://f001.backblazeb2.com/file/wikiFiles/wd2XI3Y.jpg)

[\_](https://github.com/thisispiggy/my-wiki/tree/601ff771dc2fac1318ae8b59435ac8485628fd81/01%20Step%201/Cardiology/systolic%20HF%20heart%20sounds/README.md)..

![](https://f001.backblazeb2.com/file/wikiFiles/2iqwfT4.jpg)

* quick moving blood hits wall

![](https://f001.backblazeb2.com/file/wikiFiles/Acyscr9.jpg)

## Diastolic

[\_](https://github.com/thisispiggy/my-wiki/tree/601ff771dc2fac1318ae8b59435ac8485628fd81/01%20Step%201/Cardiology/diastolic%20HF%20PV%20curve/README.md)..

![](https://f001.backblazeb2.com/file/wikiFiles/zctBgGg.jpg)

* major problem is pressure increase

[\_](https://github.com/thisispiggy/my-wiki/tree/601ff771dc2fac1318ae8b59435ac8485628fd81/01%20Step%201/Cardiology/diastolic%20HF%20causes,%20aka/README.md)..

![](https://f001.backblazeb2.com/file/wikiFiles/C0vtyYt.jpg)

![](https://f001.backblazeb2.com/file/wikiFiles/FqKEx9C.jpg)

[\_](https://github.com/thisispiggy/my-wiki/tree/601ff771dc2fac1318ae8b59435ac8485628fd81/01%20Step%201/Cardiology/diastolic%20HF%20heart%20sounds/README.md)..

![](https://f001.backblazeb2.com/file/wikiFiles/E5H6qt0.jpg)

* slams blood hitting stiff wall and making a loud noise, requires atrial kick, can't occur in afib
* Tennessee

![](https://f001.backblazeb2.com/file/wikiFiles/Acyscr9.jpg)

## High Output

[\_](https://github.com/thisispiggy/my-wiki/tree/601ff771dc2fac1318ae8b59435ac8485628fd81/01%20Step%201/Cardiology/high%20output%20HF%20causes,%20symptoms/README.md)..

![](https://f001.backblazeb2.com/file/wikiFiles/ZoThQ2O.jpg)

* HF symptoms with high CO