# 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


---

# Agent Instructions: Querying This Documentation

If you need additional information that is not directly available in this page, you can query the documentation dynamically by asking a question.

Perform an HTTP GET request on the current page URL with the `ask` query parameter:

```
GET https://thisispiggy.gitbook.io/my-wiki/01-step-1/cardiology/25-systolic-diastolic-hf.md?ask=<question>
```

The question should be specific, self-contained, and written in natural language.
The response will contain a direct answer to the question and relevant excerpts and sources from the documentation.

Use this mechanism when the answer is not explicitly present in the current page, you need clarification or additional context, or you want to retrieve related documentation sections.