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

Difference between aqueous humour and vitreous humour, Difference between a...

Difference between aqueous humour and vitreous humour - Aquou s Humour Vitrou s humour 1. Occurs in aquous chamber   2. Wat

Molecule that transports oxygen in red blood cells, Q. What is the name of ...

Q. What is the name of the molecule that transports oxygen in red blood cells? The respiratory pigment of the red blood cells is hemoglobin.

VASCULAR PLANTS., WHAT TRAITS ALLOWED VASCULAR PLANTS TO GROW TALL

WHAT TRAITS ALLOWED VASCULAR PLANTS TO GROW TALL

Dormancy - plant growth substances, Dormancy - Plant Growth Substances ...

Dormancy - Plant Growth Substances Dormancy can be defined as a state of suspended growth and metabolism. When most plants are exposed to seasonal periods of very inclement we

Microbiology.., describe the function of a bacterial flagellum

describe the function of a bacterial flagellum

Ecological pyramids, one disadvantage of the pyramid if a tree and grass ea...

one disadvantage of the pyramid if a tree and grass each count as one organism

How ignorance and poor socioeconomic cause pem, How Ignorance and Poor Soci...

How Ignorance and Poor Socioeconomic cause PEM? Status Improper childcare, either as a result of lack of knowledge or lack of time for mother, could also contribute to the onse

Vitamins and minerals requirement in chronic diarrhoea, Q. Vitamins and min...

Q. Vitamins and minerals requirement in chronic diarrhoea? Loss of vitamins is related to the degree of mucosal damage in chronic diarrhoea, which in turn impairs absorption an

Illustrate the functional properties of proteins, Functional properties of ...

Functional properties of protiens Immunoproteins such as C-reactive protein, Opsonin Immunoglobulins, Contractile respiratory, structural, enzymatic,

Define proline, Define Proline It is a prominent amino acid found in fi...

Define Proline It is a prominent amino acid found in fish and may contribute to sweetness. The sugars ribose, glucose and glucose-6-phosphate are flavour contributors, as is 5-

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