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Heart Failure II: Pathophysiology01:29

Heart Failure II: Pathophysiology

78
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...
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Pathophysiology of Heart Failure01:17

Pathophysiology of Heart Failure

1.9K
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...
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Heart Failure IV: Classification and Diagnostic Evaluation01:30

Heart Failure IV: Classification and Diagnostic Evaluation

55
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...
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Imbalances in Cardiac Output01:26

Imbalances in Cardiac Output

1.6K
The heart's primary function is to pump blood throughout the body, maintaining a balance between blood sent out (cardiac output) and blood returning (venous return). If this balance is disrupted, it can result in congestive heart failure (CHF), a severe condition where the heart becomes an inefficient pump, leading to inadequate blood circulation.
CHF can occur due to the failure of either side of the heart. Left-side failure leads to pulmonary congestion—the right side continues to send...
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Heart Failure I: Introduction01:27

Heart Failure I: Introduction

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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...
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Heart Failure III: Clinical Manifestations01:26

Heart Failure III: Clinical Manifestations

67
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...
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Updated: Sep 26, 2025

Echocardiographic Assessment of Cardiac Anatomy and Function in Adult Rats
08:09

Echocardiographic Assessment of Cardiac Anatomy and Function in Adult Rats

Published on: December 13, 2019

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Heart Failure and Atrial Fibrillation: Diastolic Function Differences Depending on Left Ventricle Ejection Fraction.

Ruxandra-Nicoleta Horodinschi1,2, Camelia Cristina Diaconu1,3

  • 1Department 5, "Carol Davila" University of Medicine and Pharmacy, 050474 Bucharest, Romania.

Diagnostics (Basel, Switzerland)
|April 23, 2022
PubMed
Summary

Patients with heart failure with reduced ejection fraction (HFrEF) and atrial fibrillation (AF) experience more severe diastolic dysfunction. This indicates higher left ventricular filling pressures compared to those with heart failure with preserved ejection fraction (HFpEF) and AF.

Keywords:
atrial fibrillationdiastolic functionheart failure

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Area of Science:

  • Cardiology
  • Internal Medicine

Background:

  • Heart failure (HF) and atrial fibrillation (AF) are common cardiovascular conditions often co-occurring.
  • Diastolic dysfunction, a condition leading to elevated intracardiac pressures, is frequently observed in patients with both HF and AF.

Purpose of the Study:

  • To investigate and analyze diastolic dysfunction in patients diagnosed with both chronic heart failure (HF) and atrial fibrillation (AF).
  • To compare diastolic dysfunction across different left ventricle ejection fraction (LVEF) categories within the HF and AF patient cohort.

Main Methods:

  • A prospective study involving 324 adult patients with chronic HF and AF.
  • Echocardiographic data was collected and analyzed, dividing patients into three groups based on LVEF: HFrEF, HFmrEF, and HFpEF.
  • Statistical analysis was conducted using R software to compare parameters between subgroups.

Main Results:

  • Patients with HFrEF and AF exhibited a significantly higher E/e' ratio (p = 0.0352, OR 1.9) compared to those with HFpEF and AF.
  • Left atrial volume index was also elevated in the HFrEF group (56.4 mL/m² vs. 53.6 mL/m²).

Conclusions:

  • Patients with HFrEF and AF demonstrate more pronounced diastolic dysfunction.
  • These findings suggest that HFrEF in the presence of AF is associated with increased left ventricular filling pressures when compared to HFpEF with AF.