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Pulmonary valve-Rt.
Aortic valve-Lt.
Blood Supply
Rt & Lt coronary arteries.
During diastole.
Venous drainage:
Pulmonary circulation.
sinus.
Closes AV valves.
diastole(diastolic failure)”.
Etiopathogenesis
Heart failure due to diastolic dysfunction:
i. Mitral or tricuspid stenosis
ii. Constrictive pericarditis
iii. Restrictive cardiomyopathy
iv. Acute volume overload(acute aortic or mitral
regurgitation)
v. Myocardial ischaemia
vi. Marked ventricular hypertrophy
vii. Dilated cardiomyopathy
Causes of CCF:
Infants:
1. Congenital heart disease
2. Myocarditis & primary myocardial disease
3. Paroxysmal tachycardia
4. Anemia
5. Miscellaneous:
• Infections, Upper respiratory infection,
Hypoglycemia, Hypocalcemia, Neonatal asphyxia,
Persistent fetal circulation
CCF causes:
Children:
3. Hypertension
Transpositions:
months.
CCF.
Infections :Upper & Lower respiratory tract
CCF.
asphyxia, hypocalcemia.
Rheumatic fever.
Tachypnea side
Cardiac enlargement Hepatomegaly
engorgement
gain
Treatment
1. Reducing cardiac work
heart size
Digitalis.
Diuretics.
Potassium chloride.
Improving performance by
↓heart size
Digitalis.
Diuretics(frusemide).
Potassium supplement.
Supraventricular tachycardiaverapamil
digoxin.
Bed rest, vasodilators.
Anticongestive measures.
Betablockers.