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Understanding changes in cardiovascular pathophysiology
1University of Greenwich, Eltham, London.
Insights
This article explains cardiovascular changes during illness, focusing on heart anatomy, function, and autonomic nervous system control. Understanding these physiological alterations helps nurses provide better cardiac patient care.
Area of Science:
- Cardiology
- Physiology
- Nursing Science
Background:
- Cardiovascular pathophysiological changes, including hypertension and enlarged ventricles, signify altered heart and circulatory functions during illness.
- Understanding these changes is crucial for effective patient assessment and care.
Purpose of the Study:
- To examine the normal and altered anatomy of cardiac valves, myocardium contractile elements, and enzymes.
- To elucidate the factors influencing cardiac output and the role of the autonomic nervous system in heart rhythm.
- To explore how diseases impact cardiac function and manifest as symptoms.
Main Methods:
- Review of normal and altered cardiovascular anatomy and physiology.
- Analysis of factors affecting cardiac output and autonomic nervous system regulation.
- Exploration of disease-specific alterations in cardiac function.
Main Results:
- Detailed examination of cardiac valves, myocardial contractile elements, and enzymes.
- Explanation of cardiac output determinants and autonomic control of heart rate.
- Identification of how specific diseases lead to cardiac dysfunction and symptoms.
Conclusions:
- Knowledge of cardiovascular pathophysiology enables nurses to ask pertinent questions, take effective histories, and interpret diagnostic results.
- This understanding supports evidence-based nursing practice for improved cardiac patient outcomes.
- Physiological rationale underpins sound cardiac care strategies.
Abstract:
Cardiovascular pathophysiological changes, such as hypertension and enlarged ventricles, reflect the altered functions of the heart and its circulation during ill-health. This article examines the normal and altered anatomy of the cardiac valves, the contractile elements and enzymes of the myocardium, the significance of the different factors associated with cardiac output, and the role of the autonomic nervous system in the heart beat. It also explores how certain diseases alter these functions and result in cardiac symptoms. Nurses can benefit from knowledge of these specific changes, for example, by being able to ask relevant questions in order to ascertain the nature of a patients condition, by being able to take an effective patient history and by being able to read diagnostic results, such as electrocardiograms and cardiac enzyme results. All this will help nurses to promote sound cardiac care based on a physiological rationale.
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