A-60-year-old man sustained an extensive acute myocardial infarction 4 years before his recent admis. Question
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A-60-year-old man sustained an extensive acute myocardial infarction 4 years before his recent admission. Since that time, he becomes progressively more breath lesson exertion. During the past 6 months, he developed swelling of his abdomen and feet. Examination revealed an emaciated man who was breathless even at rest. Cardiac rhythm was regular and blood pressure was 90/60 mmHg. Jugular venous pressure was elevated and there was ankle edema 、hepatomegaly and ascites. Chest x-ray revealed marked cardiac enlargement, bilateral pleural effusions and pulmonary venous congestion. Cardiac catheterization revealed severe coronary artery disease. I. What is the diagnosis for this patient? 2. What is the main cause and pathogenesis of heart failure in this case? 3. In what organs does the edema appear and what are the possible mechanisms?
SCIENCE
HEALTH SCIENCE
NURSING
BIOS S-162B
A-60-year-old man sustained an extensive acute myocardial infarction 4 years before his recent admis
