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Running head: CHF 1
Congestive Heart Failure: A Case Study
Esteban Guaderrama
Herzing University

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CHF 2
Congestive Heart Failure: A Case Study
Heart Failure accounts for over 10% of the registered cases in the United States in population
over 65 years of age. Its pathophysiology is diverse and has many causes; however all leading to
inadequate cardiac output and low systemic perfusion. (McCance & Huether, 2013)
Case Study
A 72 year old male patient is being seen for a hospital follow-up visit. He was discharged 1
week ago after a 3-day stay for an exacerbation of congestive heart failure. He has a history of CAD and
dilated cardiomyopathy, with a left ventricular ejection fraction (LVEF) of 0.30 (30%). You note he has
been hospitalized for the same problem 3 times in the last 8 weeks. While performing his history and
physical, you learn he has not been taking his diuretic as directed because it makes him go to the
bathroom all the time and it disrupts his sleep. He also is not taking the prescribed beta blocker because
it makes him sleepy.
Diagnosis and Pathophysiology
This patient is likely to be experiencing a systolic heart failure. Systolic heart failure or left
ventricular heart failure is a form of congestive heart failure. In left ventricular failure the ejection
fraction or pressure is diminished significantly, leading to non perfusion to tissue and low cardiac
output. Left ventricular failure is characterized by a low ejection fraction, in his case the cardiac output
is reduced because the total stroke volume correlates to the preload, afterload and contractility. Because
of CAD the patient will suffer from a reduction in contractility, therefore reducing the stroke volume.
When this contractility is diminished, the stroke volume reduces and the Left ventricular end-diastolic
volume increases, leading to an increase in the preload volume and dystrophy in the ventricular heart

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Running head: CHF 1 Congestive Heart Failure: A Case Study Esteban Guaderrama Herzing University CHF 2 Congestive Heart Failure: A Case Study Heart Failure accounts for over 10% of the registered cases in the United States in population over 65 years of age. Its pathophysiology is diverse and has many causes; however all leading to inadequate cardiac output and low systemic perfusion. (McCance & Huether, 2013) Case Study A 72 year old male patient is being seen for a hospital follow-up visit. He was discharged 1 week ago after a 3-day stay for an exacerbation of congestive heart failure. He has a history of CAD and dilated cardiomyopathy, with a left ventricular ejection fraction (LVEF) of 0.30 (30%). You note he has been hospitalized for the same problem 3 times in the last 8 weeks. While performing his history and physical, you learn he has not been taking his diuretic as directed because it makes him go to the bathroom all the time and it disrupts his sleep. He also is not taking the prescribed beta blocker because it makes him sleepy. Diagnosis and Pathophysiology This patient is likely to be experiencing a systolic heart failure. Systolic heart failure or left ventricular heart failure is a form of congestive heart failure. In left ventricular failure the ejection fraction or pressure is diminished significantly, leading to non perfusion to tissue and low cardiac output. Left ventricular failure is characterized by a low ejection fraction, in his case the cardi ...
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