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Related Concept Videos

Pathophysiology of Heart Failure01:17

Pathophysiology of Heart Failure

2.0K
Heart failure (HF) is a progressive syndrome involving ventricles that leads to inadequate cardiac output. It can be classified based on location and output or ejection fraction. Ejection fraction (EF) is an essential measurement in the diagnosis and surveillance of HF. Reduced EF corresponds to systolic heart failure (HFrEF). However, HF with preserved ejection fraction (HFpEF) is becoming increasingly prevalent. Also known as diastolic HF, this form of HF is related to aging. The...
2.0K
Heart Failure II: Pathophysiology01:29

Heart Failure II: Pathophysiology

113
Systolic Heart Failure and Compensatory MechanismsSystolic heart failure (also termed HFrEF, Heart Failure with Reduced Ejection Fraction) is the most prevalent type of heart filure. It results in a decreased volume of blood being pumped from the ventricle. The aortic arch and carotid sinuses have baroreceptors that detect reduced blood pressure, triggering the sympathetic nervous system (SNS) to release epinephrine and norepinephrine. Initially, this response aims to boost heart rate and...
113
Heart Failure I: Introduction01:27

Heart Failure I: Introduction

166
Heart failure refers to a clinical syndrome caused by structural or functional cardiac disorders that prevent the heart from pumping an adequate amount of blood to meet the body's metabolic needs. This condition often arises from myocardial infarction or ischemia, leading to decreased cardiac output, reduced tissue perfusion, impaired gas exchange, fluid volume imbalance, and decreased functional ability.Heart failure can result from disruptions in the mechanisms that regulate cardiac output...
166
Heart Failure IV: Classification and Diagnostic Evaluation01:30

Heart Failure IV: Classification and Diagnostic Evaluation

77
Heart failure can be classified in various ways, with the most common classifications based on physical activity limitations, disease progression, severity, and treatment strategies.The Functional Classification of Heart Failure divides patients into four categories based on physical activity limitation due to symptom burden.Class I: Patients in this class have cardiac disease but no physical activity limitations. Ordinary activities like walking, climbing stairs, or routine tasks do not cause...
77
Heart Failure V: Medical Management01:30

Heart Failure V: Medical Management

55
Medical Management of Acute Decompensated Heart Failure (ADHF)The primary goals of therapy for patients hospitalized with acute decompensated heart failure (ADHF) include:Relieving symptomsOptimizing volume statusSupporting oxygenation and ventilationMaintaining cardiac output (CO) and end-organ perfusionIdentifying and addressing the cause of ADHFPreventing complicationsProviding patient education on factors precipitating HF exacerbationPlanning for dischargeOngoing monitoring and assessment...
55
Heart Failure III: Clinical Manifestations01:26

Heart Failure III: Clinical Manifestations

105
Heart failure (HF) manifests primarily as dyspnea, fatigue, and fluid retention, resulting in peripheral and pulmonary edema. Symptoms may vary depending on which ventricle is more affected, left or right.Left-Sided Heart FailureAlso known as left ventricular failure, this condition results from the left ventricle's inability to fill or eject sufficient blood into the systemic circulation. It leads to pulmonary congestion, which occurs when the left ventricle fails to eject blood effectively...
105

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Updated: Oct 26, 2025

A Surgical Model of Heart Failure with Preserved Ejection Fraction in Tibetan Minipigs
07:09

A Surgical Model of Heart Failure with Preserved Ejection Fraction in Tibetan Minipigs

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Acute Postpartum Heart Failure With Preserved Systolic Function.

Amrish Deshmukh1, Theodore J Kolias1, Kathryn J Lindley2

  • 1Department of Internal Medicine, Division of Cardiovascular Medicine, University of Michigan, Ann Arbor, Michigan.

JACC. Case Reports
|July 28, 2021
PubMed
Summary
This summary is machine-generated.

Postpartum dyspnea can indicate serious conditions. This case highlights acute postpartum heart failure with preserved systolic function, even without prior heart issues or pre-eclampsia.

Keywords:
BNP, B-type natriuretic peptideLV, left ventricularPPCM, peripartum cardiomyopathycardiomyopathydiastolic heart failurepregnancy

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Area of Science:

  • Cardiology
  • Obstetrics
  • Pulmonary Medicine

Background:

  • Postpartum dyspnea presents a diagnostic challenge, ranging from benign causes to critical conditions.
  • Early identification of severe postpartum cardiopulmonary complications is crucial for maternal outcomes.

Observation:

  • A case of a postpartum woman presented with acute dyspnea.
  • The patient had no history of cardiovascular disease or pre-eclampsia.

Findings:

  • Diagnosis of acute postpartum heart failure with preserved systolic function was established.
  • Echocardiography confirmed preserved systolic function despite heart failure symptoms.

Implications:

  • This case underscores the importance of considering heart failure in postpartum dyspnea, even in low-risk patients.
  • Highlights the need for comprehensive cardiovascular evaluation in postpartum women presenting with respiratory symptoms.