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Concept
Systemic Venous Congestion
Systemic venous congestion
refers to the
backup of blood
in the
systemic venous circulation
, often due to
heart failure
or other conditions impairing
venous return
. This can lead to symptoms such as edema, ascites, and
organ dysfunction
as blood accumulates in the
venous system
and increases venous pressure.
Relevant Fields:
Pathology of the Circulatory System 70%
Blood and Cardiovascular System 20%
Physiotherapy and Non-Medicinal Treatments 10%
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Concept
Heart Failure
Heart failure
is a
chronic condition
where the heart is unable to
pump blood effectively
to meet the
body's needs
, often leading to fatigue, shortness of breath, and
fluid retention
. It is a
progressive disease
that can result from various
underlying conditions
, such as
coronary artery disease
, hypertension, or cardiomyopathy, and requires
careful management
to improve
quality of life
and outcomes.
Concept
Venous Return
Venous return
is the
flow of blood back to the heart
, a crucial component in maintaining
cardiac output
and
systemic circulation
. It is influenced by factors such as
blood volume
, venous tone, and the
pressure gradient
between the
venous system
and the
right atrium
.
Concept
Edema
Edema is the
medical term
for swelling caused by
excess fluid
trapped in the
body's tissues
, often manifesting in the extremities, lungs, or abdomen. It can result from various
underlying conditions
, including
heart failure
,
kidney disease
, and inflammation, and requires addressing the root cause for
effective treatment
.
Concept
Ascites
Ascites is the
pathological accumulation of fluid
in the
peritoneal cavity
, often indicative of
advanced liver disease
such as cirrhosis. It can lead to complications like
spontaneous bacterial peritonitis
and requires
careful management
including
dietary modifications
, diuretics, and potentially paracentesis.
Concept
Venous Pressure
Venous pressure
is the
blood pressure
within the
venous system
, crucial for maintaining adequate
venous return
to the heart. It is influenced by factors such as
blood volume
, venous tone, and the
pressure gradient
between the
peripheral veins
and the
right atrium
.
Concept
Right-sided Heart Failure
Right-sided heart failure
occurs when the right side of the heart cannot pump blood effectively to the lungs, often due to
left-sided heart failure
or
pulmonary hypertension
. This leads to a
buildup of fluid
in the body, causing symptoms such as
swelling in the legs
and abdomen, fatigue, and
shortness of breath
.
Concept
Jugular Venous Distension
Jugular venous distension
(JVD) is a
physical examination finding
that indicates
elevated central venous pressure
, often associated with
heart failure
or
fluid overload
. It is assessed by observing the
external jugular vein
in the neck while the patient is in a
semi-upright position
, typically at a
45-degree angle
.
Concept
Hepatomegaly
Hepatomegaly is the
abnormal enlargement of the liver
, often indicative of
underlying conditions
such as
liver disease
, congestive heart failure, or cancer. Diagnosis typically involves
physical examination
,
imaging studies
, and
laboratory tests
to determine the
underlying cause
and guide
appropriate treatment
.
Concept
Peripheral Edema
Peripheral edema
is the
swelling of tissues
, usually in the
lower limbs
, due to the
accumulation of interstitial fluid
. It is often a
symptom of underlying conditions
such as
heart failure
, kidney disease, or
venous insufficiency
, and requires
careful evaluation
to determine the
underlying cause
.
Concept
Cardiac Output
Cardiac output
is the
volume of blood
the
heart pumps
per minute and is a critical indicator of
cardiovascular health
. It is determined by the
heart rate
and
stroke volume
, reflecting the
heart's efficiency
in
delivering oxygen
and nutrients to tissues.
Concept
Right Heart Failure
Right heart failure
, also known as
right ventricular failure
, occurs when the right side of the heart is unable to pump blood effectively to the lungs, often due to
left heart failure
or
pulmonary hypertension
. This leads to
systemic venous congestion
, resulting in symptoms such as
peripheral edema
, ascites, and
jugular venous distension
.
Concept
Tricuspid Regurgitation
Tricuspid regurgitation
is a condition where the
tricuspid valve
fails to close properly, causing blood to flow backward into the
right atrium
during systole, often leading to
right-sided heart failure
and
systemic venous congestion
. It can be caused by various factors, including
rheumatic heart disease
, infective endocarditis, or
pulmonary hypertension
, and its management depends on the underlying cause and severity.
Concept
Right Ventricular Dysfunction
Right ventricular dysfunction
refers to the
impaired ability of the right ventricle
to
pump blood effectively
, often resulting from conditions such as
pulmonary hypertension
or
left-sided heart failure
. It can lead to
systemic venous congestion
and is associated with
increased morbidity
and mortality in various
cardiovascular diseases
.
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