Abstract
Heart failure is usually defined as the inability of the heart to secure, in normal conditions (i.e. with low upstream venous pressures), the necessary blood flow to meet the metabolic and functional requirements of the various organs. This definition is deliberately vague, encompassing various etiologies, pathophysiological mechanisms and clinical manifestations. The inadequacy of the heart to meet the requirements of the organism results clinically in a pressure elevation upstream of the failing heart and/or a reduction of the stroke volume that may further lead to reduced blood supply to the peripheral circulations. The elevation of upstream pressures is responsible for signs of congestive heart failure in the corresponding venous circulation. A reduction of flow, and an inadequate adjustment of the peripheral circulations to counteract it, lead to signs of acute circulatory failure and even shock.
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References
Glantz SA, Parmley WW (1978) Factors which affect the diastolic pressure-volume curve. Circ Res 42: 171–180
Brutsaert DL, Rademakers FE, Sys SU (1984) Triple control of relaxation: implications in cardiac disease. Circulation 69: 190–196
Eichna LN (1960) Circulatory congestion and heart failure. Circulation 22: 864–870
Bourdarias JP (1974) L’insuffisance cardiaque de l’infarctus du myocarde récent. Rev Med 38: 2473–2493
Piscione F, Hugenholtz PG, Serruys PW (1987) Impaired left ventricular filling dynamics during percutaneous transluminal angioplasty for coronary artery disease. Am J Cardiol 59: 29–37
Cintron GB, Hernandez E, Linares E, Aranda JM (1981) Bedside recognition, incidence and clinical course of right ventricular infarction. Am J Cardiol 47: 224–227
Motte G, Perrault M, Lorente P, Coumel P, Gourgon R, Bouvrain Y (1971) L’exploration hémodynamique au stade aigu des infarctus myocardiques III–Siège de la nécrose et fonctions ventriculaires. Arch Mal Coeur 64: 1377–1389
Ross J Jr (1985) Afterload mismatch in aortic and mitral valve disease: implications for surgical therapy. J Am Coll Cardiol 5: 811–826
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© 1988 Springer-Verlag Berlin Heidelberg
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Aumont, M.C., Cohen-Solal, A., Gourgon, R. (1988). Pathophysiology of Acute Heart Failure. In: Perret, C., Vincent, J.L. (eds) Acute Heart Failure. Update in Intensive Care and Emergency Medicine, vol 6. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-83453-0_3
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DOI: https://doi.org/10.1007/978-3-642-83453-0_3
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-19169-8
Online ISBN: 978-3-642-83453-0
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