Infiltration of

Group A Beta- Tonsillitis

Sore throat
Hemolytic (1980s)
Streptococci

Activates antibodies that

cause Acute Inflammation of
the Heart

RHEUMATIC HEART DISEASE

Vegetative lesions occur in heart

valves

VALVULAR HEART
DISEASE

Triscupid, Mitral
and Aortic
Insufficiency

Increased afterload, preload and

increased pressure

Left Ventricular hypertrophy

Myocardial Dysfunction

Myocardial Failure

Heart Pump failure

 Systolic
Dysfunction,
Failure

DECREASED Easy Fatigability,

Decreased end- ACTIVITY
CARDIAC Walks only 3
systolic volume INTOLERANCE
OUTPUT flights of stairs

Decreased
Increased Venous
Perfusion of Increased Sodium and Water Increased Plasma
Pressure to the Pulmonary Edema
Tissues in the Aldosterone Retention Volume
Lungs
Body
Pulmonary
Congestion
Increased
Increased Renin, Peripheral
Vasoconstriction vascular
Angiotensin
Resistance 2-Pillow
Orthopnea

Increased Increased Capillary

Renal
Sympathetic Peripheral endothelial INEFFECTIVE
Vasoconstriction
Activity Vasoconstriction damage BREATHING
PATTERN

Decreased
Oxygen Supply to
Tissues
GASTROINTESTINAL
MYOCARDIUM:
TRACT: Decreased
Increased Cardiac
Oxygen Supply to GI
Workload
Tract

Decreased Blood
ACTIVITY
Flow to
INTOLERANCE
Myocardium Increased Acid
Production

Ischemia
Superficial mucosal
lesions of stomach and
duodenum develop
Anaerobic
Metabolism

Increased Lactic Decreased Appetite,

Acid Production Weight loss

Chest pain
IMBALANCED NUTRITION: LESS
THAN BODY REQUIREMENTS

RISK FOR INEFFECTIVE

MYOCARDIAL TISSUE PERFUSION

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