TOPIC 2
COLLABORATIVE MANAGEMENT OF CLIENTS
WITH HEART DISORDERS:
HEART FAILURE + DYSRHYTHMIAS
HEART FAILURE
Lewis et al. pp. 845-865`
Heart and Stroke Foundation (2018). Heart Failure Zones
https://www.heartandstroke.ca/-/media/pdf-files/canada/health-
failure/hs_heartfailure_zones_en.ashx?
rev=3a11e8b4ade149d1a5c6c4b45476241c&hash=8574E1E1448DE56A31866BB549EA7
FF1
Heart and Stroke Foundation. (2018). Heart Failure.
https://www.heartandstroke.ca/heart/conditions/heart-
failure
1. Review cardiac anatomy + physiology
2. Explain HF in terms of definition, etiology, pathophysiology,
compensatory mechanisms
Definition:
• Heart too weak to pump efficiently, insufficient CO
• An abnormal condition of impaired cardiac pumping or filling
• The heart can’t produce enough cardiac output to adequately perfuse the body
• Characteristics: ventricular dysfunction, reduced exercise tolerance, diminished quality of
life, shortened life expectancy
, lOMoARcPSD|20734855
• It is a syndrome, not a disease
• Associated w/ HTN, CAD + MI
Primary Risk Factors:
1. CAD
2. HTN
Contributing/Precipitating Risk Factors:
1. Diabetes
2. Tobacco use
3. Obesity
4. High serum cholesterol
Causes:
F – faulty heart valves (stenosis/narrow, regurgitation/leaks, infection)
A – arrhythmias (a fib or tachycardia)
I – infarction
L – lineage (congenital, family hx)
U – uncontrolled HTN stiffens heart walls
R – recreational drug use (cocaine) + alcohol abuse
E – evaders (viruses or infections that attack heart muscle)
Classifications:
a. Systolic failure
b. Diastolic failure
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