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Pathophysiology

Non-modifiable risk factors: - Age - Gender - Valvular heart disease Reduced myocardial contractility Increased cardiac workload Decreased diastolic filling Obstruction of left atrial emptying Modifiable risk factors: - Lifestyle - Smoking - Excessive alcohol consumption - Obesity - hypertension

Increased left atrial pressure

Blood dams back into the pulmonary capillary bed

Decreased stroke volume

Decreased tissue perfusion Pressure of blood into the pulmonary capillary bed increases

Fluid shift into the intraalveolar space and interalveolar space

Increased cellular hypoxia

Decreased blood flow to the kidney

Pulmonary edema

RAAS stimulation

Signs and symptoms: Dyspnea Paroxysmal nocturnal dyspnea Orthopnea Rales/crackles Moist cough Blood tinged frothy sputum Dizziness Fatigue Weakness

Vasoconstriction and reabsorption of sodium and water

Increased blood volume Increased systemic BP

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