PATHOPHYSIOLOGY
Modifiable Non-modifiable
*Diet *Family history of hpn,
-high fat, high sodium heart problems
*alcohol
*smoking *Age:76 yrs. old
Bad cholesterol (LDL) congest into the wall of
arteries
Activation of specialized cells
Theyll become enlarge cholesterol and rich cell
(film cells)
Invasion to the vessel wall
Atherosclerosis
Increase size of the plaque
Narrowing of the vessels
vasoconstriction
Decrease oxygenated blood flowing into the heart
Hypertension muscle
Decrease heart contraction
Decrease blood flow Reduces efficiency of myocardium through
all over the body damage and overloading
Activation of RAAS
Decrease oxygen supply Increase systemic vascular
and demand resistance
The kidney will
release Renin
Chest pain Stimulation of adrenergic
system
Angiotensinogen
Increase force of left
ventricle contraction
Angiotensin I
Increase left ventricle
workload
Angiotensin II (ACE)
Aldosterone Increase left ventricle
oxygen demand
Increase sodium
Left ventricle hypoxia
Water retention
Pulmonary edema
Bipedal Edema Pulmonary vascular
resistance
Right ventricular failure
Activity Intolerance Weakness and Decrease cardiac output
Easy fatigability
Ventricular remodelling
Progressive loss of
cardiac output
Myocardial hypertrophy
Loss of myocytes
Congestive heart failure