Clinical presentation - heart failure, Biology

Assignment Help:

There is a wide spectrum of potential clinical presentations with heart failure. Most patients have signs and symptoms of pulmonary congestion including dyspnea, orthopnea, and paroxysmal nocturnal dyspnea.

Symptoms

Dyspnoea

Breathlessness or dyspnoea is a cardinal symptom of left ventricular failure and the patient may present with exertional dyspnoea or orthopnoea or paroxysmal nocturnal dyspnoea or acute pulmonary edema.  

Exertional Dyspnoea

Degree of physical activity goes on decreasing as the heart failure progresses. Orthopnoea is dyspnoea that develops in recumbent position and is relieved by sitting up. It develops within few minutes of assuming recumbency and occurs when the patient is awake. Decreased pooling of fluid in the lower limbs and shift of fluid to the intrathoracic compartment resulting in increased preload causes orthopnoea.

Paroxysmal Nocturnal Dyspnoea

 Here the patient, after going to sleep for sometime, suddenly gets up with dyspnoea and suffocation and sits upright gasping for breath. Bronchospasm may be present and hence is often referred to as cardiac asthma. With patient asleep at night, the increased resorption of fluid into the vascular space, increased intrathoracic volume, elevation of diaphragms due to recumbency, reduced sympathetic support during night and nocturnal depression of respiratory center during night are the factors operative producing paroxysmal nocturnal dyspnoea.


Related Discussions:- Clinical presentation - heart failure

What is selective waste collection, Q. What is selective waste collection? ...

Q. What is selective waste collection? The Recyclable waste is waste that can be reprocessed and used again. The waste recycling depends on the separation of the recyclable res

Trout beck zone - lotic ecosystem, Trout beck zone - Lotic Ecosystem T...

Trout beck zone - Lotic Ecosystem This is larger and more constant than the head stream. The greater volume of torrential water carves channels into exposed rock floor (bed ro

Tissue, Ask ques different tipe tissue and ideas minimum 100 words accepted...

Ask ques different tipe tissue and ideas minimum 100 words accepted#

Genotypically and phenotypically, 1. In the human, normal pigmentation ( A ...

1. In the human, normal pigmentation ( A ) is dominant to albinism ( a ). What results would be expected from the following matings, both genotypically and phenotypically? AA x

Female reproductive system - vagina, V AGIN A - Median, elastic, musc...

V AGIN A - Median, elastic, muscular tube 7.5 cm long. Open into vestibule by vaginal orffice. The lining forms vaginal rugae. Space between vaginal wall & cervix is forn

What is homogenization, What is homogenization Emulsions may also be st...

What is homogenization Emulsions may also be stabilized by a process known as homogenization, in which the size of the dispersed fat globules is greatly reduced to more or less

Explain about food exchange system, Q. Explain about Food Exchange System? ...

Q. Explain about Food Exchange System? In a diabetic's day to day diet, the calorie intake and the quantity of food consumed should not have wide fluctuations. Also the diet sh

What is gingival inflammation, What is Gingival Inflammation Areas of o...

What is Gingival Inflammation Areas of overt inflammation should be identified and the etiology investigated to initiate proper treatment.

Explain pedicellaria in brief, Explain Pedicellaria in brief? Defensive...

Explain Pedicellaria in brief? Defensive pincerlike structures found on the surface of echinoderms. They are capable of responding to external stimuli independently from the ma

Open pulmonary valvotonzy, Open Pulmonary Valvotonzy, I nfundibular Rese...

Open Pulmonary Valvotonzy, I nfundibular Resection and Trans Annular Patch :  The pulmonary annulus may be narrow based on pre-operative investigations and on measurement

Write Your Message!

Captcha
Free Assignment Quote

Assured A++ Grade

Get guaranteed satisfaction & time on delivery in every assignment order you paid with us! We ensure premium quality solution document along with free turntin report!

All rights reserved! Copyrights ©2019-2020 ExpertsMind IT Educational Pvt Ltd