25 Systolic Diastolic HF

Overview

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• left: can't squeeze at all

• both similar signs and symptoms

• low CO signs only in end stage systolic

Systolic

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• 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

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Nonischemic Cardiomyopathy

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• Selenium

• 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

• 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

• 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

• normal angiogram

• base contracts normally, apex doesn't

• common in japan

• alcoholic cardiomyopathy

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• quick moving blood hits wall

Diastolic

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• major problem is pressure increase

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

• Tennessee

High Output

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• HF symptoms with high CO