第十四章心力衰竭( heart failure) Dept of Pathophysiology
第十四章 心力衰竭（heart failure) Dept. of Pathophysiology
第一节概述 What causes heart failure? 冠心病 (CAD) 高血压 (Hypertension) 心血管疾病的 心肌病 严重并发症 Cardiomyopathy 瓣膜疾病丿 lalyular heart disease Dyspnea, edema, dysfunction of kidney.a. Normal Artery Blocked Artery
冠心病 (CAD) 高血压 (Hypertension) 心肌病 (Cardiomyopathy) 瓣膜疾病 (Valvular heart disease) Dyspnea, edema, dysfunction of kidney…… 心血管疾病的 严重并发症 第一节 概述 What causes heart failure?
Other factors In addition to those causes above the following factors also can play a role in determining if heart failure will affect you 1 family history of heart failure(家族史) 2 diabetes(糖尿病) 3 marked obesity(肥胖) 4 heavy consumption of alcohol, or drug abuse(酗酒、 滥用药) 5 failure to take medications(治疗不及时) 6 large salt intake in diet(高盐饮食) 7. sustained rapid heart rhythms(心律失常)
In addition to those causes above, the following factors also can play a role in determining if heart failure will affect you: 1.family history of heart failure(家族史） 2.diabetes（糖尿病） 3.marked obesity（肥胖） 4.heavy consumption of alcohol, or drug abuse（酗酒、 滥用药） 5.failure to take medications （治疗不及时） 6.large salt intake in diet （高盐饮食） 7.sustained rapid heart rhythms （心律失常） Other factors
Heart Remodeling Primary Heart Ventricular Pump Deat Dysfunction GrowtH Failure Factors Neuroendocrine Response 1)Arteries Constrict 2) Kidneys retain water〔bood volume rises) Symptoms
Concept 在各种致并病因素作用下, 各种致病因素由于心肌收缩和/或舒张功能 障碍,使心泵功能降低,导 致心输出量绝对或相对减少 心脏收缩舒张不能满足机体代谢需要的病 功能障碍 理过程 心输出量降低 Heart failure is a condition initiated by impairment of the 机体需要不能满且 heart' s function as a pump
各种致病因素 心脏收缩舒张 功能障碍 心输出量降低 机体需要不能满足 在各种致并病因素作用下， 由于心肌收缩和/或舒张功能 障碍，使心泵功能降低，导 致心输出量绝对或相对减少， 不能满足机体代谢需要的病 理过程 Heart failure is a condition initiated by impairment of the heart's function as a pump! Concept