Pathophysiology Of Congestive Heart Failure Research Paper


Moreover, increasing releases of aldosterone can also cause the body to retain fluid and sodium which can lead to endothelial dysfunction and organ fibrosis (Hobbs & Boyle, 2010). Other Systems

Along with other systems, there is an impact on the thyroid as well when examining the pathophysiology of congestive heart failure. According to the research, the "thyroid hormone (TH) has a fundamental role in cardiovascular homeostasis" from a pathophysiological perspective (Galli et al., 2012, p 155). When there are conditions ripe for congestive heart failure, there are notable reactions seen in the thyroid. In fact, Galli et al. (2010) assert that there is a "well-known but not yet well-understood relationship" between the thyroid and congestive heart failure (Galli et al., 2012, p 155). Continuing studies and research have aimed to help uncover this relationship in order to better provide for clinical practice. What is known is that "TH influences diastolic and systolic function both directly and indirectly" (Galli et al., 2012, p 157). Thus, low serum T3 levels can be a significant marker for the pathophysiology of congestive heart failure.

Some patients may even show signs of tissue hypothyroidism. Evidently, "an altered thyroid metabolism is already evident in the very early phases of left ventricular dysfunction and the decrease in serum T3 is proportional to the severity of heart disease and symptoms" (Galli et al., 2012, p 156). As such, TH deficiencies are often noted by the presence of a severe impairment in blood flow out of the heart.

Managing Patients after Congestive Heart Failure

In order to care for patients suffering from congestive heart failure of various severities, there are a number of management strategies that are popular within clinical practice today. Health care strategies often employ nitroprusside infusion (Aucoin, 2011). There is also the use of dietary sodium and restrictions on fluids. Due to the fact that the body retains fluid in such cases of congestive...


This may often include "limiting patients to 2 g/day of dietary sodium and 2 L / day of fluid will lessen congestion and decrease the need for diuretics" (Hobbs & Boyle, 2010). The pathophysiological symptoms of congestive heart failure can cause enormous stress on the heart, leading to the importance of effective implementations of such strategies early on in the diagnosis of the condition.
Conclusion: Future Recommendations for Clinical Practice Based on Pathophysiology

With so many suffering from the devastating affects of congestive heart failure, better understanding of its pathophysiology can help increase management strategies. Today, despite all the research and break through which have been achieved, there is still between a 5%-20% mortality rate annually (Hobbs & Boyle, 2010). Unfortunately, "despite recent therapeutic advances, congestive HF is associated with high morbidity and mortality" (Li et al., 2012, p 7). There needs to be greater attention and emphasis placed on preventing congestive heart failure through the adaption of avoiding major risk factors.

Sources Used in Documents:


Aucoin, a. (2011). Management of a Patient with Congestive Heart Failure and Acute Pulmonary Edema -- a Case Study. Canadian Journal of Respiratory Therapy, 47(1), 12-14.

Borlaug, B.A., & Paulus, W.J. (2011). Heart failure with preserved ejection fraction: pathophysiology, diagnosis, and treatment. European heart journal, 32(6), 670-679.

Galli, E., Pingitore, a., & Iervasi, G. (2010). The role of thyroid hormone in the pathophysiology of heart failure: clinical evidence. Heart failure reviews, 15(2), 155-169.

Hobbs, Robert & Boyle, Andrew. (2010). Heart failure. Disease Management Project. Cleveland Clinic. Web.

Cite this Document:

"Pathophysiology Of Congestive Heart Failure" (2013, April 05) Retrieved June 18, 2024, from

"Pathophysiology Of Congestive Heart Failure" 05 April 2013. Web.18 June. 2024. <>

"Pathophysiology Of Congestive Heart Failure", 05 April 2013, Accessed.18 June. 2024,

Related Documents

Best Practices in the Management of Congestive Heart Failure In recent years, diagnostic testing and treatments for cardiovascular diseases have improved survival rates and the quality of life for many patients, with the sole exception of congestive heart failure (CHF), which has experienced increases in both prevalence and incidence (Rahnavard & Nodeh, 2014). Moreover, today, coronary heart diseases in general and CHF in particular are among the leading causes of mortality

Activity is another important concern for many individuals that have congestive heart failure. Some of them will be resentful of the fact that they are no longer are able to perform many of the activities that they once performed, and others will be so afraid to perform any type of activity at all that they will become sedentary, which can also be dangerous. All individuals, regardless of their medical condition,

Congestive Heart Failure Description of the Health Issue Congestive heart failure does not necessarily mean that the heart has stopped functioning, but it does mean that the heart is not pumping blood as effectively as it should be -- and normally is -- pumping the body's life-sustaining substance. This paper delves into the reasons why a person suffers from congestive heart failure, what actually happens to the heart and to the body,

PICOT Population/Patient Adults with congestive heart failure requiring hospitalization Intervention Heart Failure education (signs, symptoms, pathophysiology), self-care interventions (diet, fluid restrictions, sodium dietary restrictions, review of medications, exercise recommendations, weight monitoring), patient support (telephone support, increased clinic visits, home visits, social support, psychological support, multidisciplinary care). Comparison Usual care vs. intervention, one intervention vs. another intervention Readmission rates (all causes), length of hospital stay, health care utilization, mortality rates (all causes), quality of life. Timeframe One Month follow up Question In

Congestive Cardiac Failure Mr Ward is a 71-year-old male who reports feeling a non-radiating, "heavy" discomfort in the lower retrosternal and epigastric region particularly when he bends over or walks short distances. He also reports a further 7 days of dyspnoea during moderate exertion. On examination his blood pressure was 165/95 mm HG, pulse 90 -100 bpm, respiratory rate of 24 with inspiratory crackles at both lung bases. The following blood

Congestive Cardiac Failure

Congestive Cardiac Failure: Nursing Perspective Congestive heart failure is a congenital condition that affects millions of American's every year. Heart failure often manifests in a chronic condition for victims of the disease. There are several nursing interventions important for control and maintenance of the condition. Congestive heart failure can result in serious complications including edema, respiratory disorders and can lead to premature death. Treating congestive heart failure appropriately is critical to