心力衰竭-珍贵医学分享.pptVIP

1Heart failure 2 DEFINITIONHEART FAILURE the pathophysiological state in which the heart is unable to pump blood at a rate commensurate with the requirement of the metabolizing tissues or can do so only from an elevated filling pressure. Usually caused by a defect in myocardial contraction (myocardial failure). 3 DEFINITIONCONGESTIVE HEART FAILUREClinical manifested as Pulmonary congestionSystemic congestionInadequate tissure blood perfusionHEMODYNAMICALLY heart failure (cardiac dysfunction) is diagnosed when LVEDP18mmHg orRVEDP10mmHg 4UNDERLYING CAUSES Primary myocardial dysfunction (sys