Dr Nalabothu on Fluid Overload and Congestive Heart Failure
Dr Nalabothu on Fluid Overload and Congestive Heart Failure
Dr. Poorna Nalabothu discusses fluid overload and its effects on congestive heart failure. For more information, please visit https://heartcenterutah.com/home/ or call (801) 266-3418.
Content
0.38 -> Fluid overload is one of the hallmark
3.1 -> of these congestive heart failure patients.
5.91 -> So it can be explained in different ways.
9.67 -> One is the forward failure.
12.02 -> The heart no longer can pump the blood,
15.7 -> and the kidney gets less and less amounts of the blood.
22.49 -> The kidney thinks that the body's deprived of the fluid,
26.81 -> and then it started to retain salt and water,
30.33 -> so more fluid retention.
33.04 -> And the second explanation is,
35.31 -> as the heart cannot pump forwards,
38.74 -> the pressures will be backed up
40.69 -> in the venous system, increases the venous pressures.
44.27 -> As the venous pressures increase, the blood vessels
47.47 -> leak salt and water into the surrounding tissues.
52.49 -> So these two can cause fluid and water retention.
56.14 -> Along with that, the body's adaptive mechanisms
60.33 -> will also do more salt and water retention
65.56 -> by increasing the neural hormonal release,
68.96 -> which is the basic pathophysiology
72.1 -> of the congestive heart failure,
74.09 -> and also by renin angiotensin system.
77.6 -> So by all means, the fluid will get accumulated in the body.
Source: https://www.youtube.com/watch?v=TkvgAiRolxE