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Welcome to My presentation
presented by
Quazi istiaque Bari
ID-201730103007
Department of pharmacy
Pathophysiology Of Heart
Presentation topic
Outline
 Heart
 Physiology & anatomy of heart
 Functions of heart
 Blood circulation
 Diseases of heart
 Arrhythmia
 Angina
 Heart failure
 Heart attack
 Healthy heart tips
Heart
 Heart is a vital organ of the body.
 It is a muscular pump that circulates the blood.
 An adult human heart weighs between 200 and
425 grams and is slightly larger than a fist.
 In an average lifetime, a person's heart may
beat more than 3.5 billion times.
 Each day, the average heart beats 100,000
times, pumping about 7,600 liters of blood.
Physiology & anatomy of heart
Physiology & anatomy of heart
(The Pericardium)
 The heart is surrounded by
membrane called Pericardium.
 The pericardium is a fibroserous sac
that encloses the heart and the
roots of the great vessels.
 The pericardium lies within the
middle mediastinum.
 Its function is to restrict excessive
movements of the heart as a whole
and to serve as a lubricated
container in which the different
parts of the heart can contract.
Heart Wall
The heart wall is made up
of three layers:
 Epicardium—
outer protective layer of
the heart.
 Myocardium—muscular
middle layer wall of the
heart.
 Endocardium—inner
layer of the heart.
The Heart Chambers
Heart contains Four
chambers
Right
Atrium
Left
Atrium
Right
Ventricle
Left
Ventricle
Valves of heart
1) Atrioventricular valves:
a) Tricuspid valve, located
between the right atrium
and right ventricle.
b) Bicuspid or mitral valve,
located between the left
atrium and left ventricle.
2) Semilunar valves:
a) Pulmonary valve,
separates the right
ventricle from the
pulmonary arteries.
b) Aortic valve, separates
the left ventricle from the
aorta.
Function of heart
 Pumping blood around the body is the main function of
the heart.
 Sending deoxygenated blood to the lungs to be
oxygenated
 Sending oxygenated blood to the whole body
 Ensuring that oxygenated and deoxygenated blood do not
mix (septum)
 Preventing back flow of blood (valves)
Blood circulation
 It is the process of & lymph flow through a close system of vessels, called
circulation.
DISEASES OF HEART
Arrhythmia
Angina
Heart failure
Heart attack
Hypertension
Arrhythmia
 An abnormality of the cardiac rhythm
is called a cardiac arrhythmia.
Arrhythmias may cause sudden
death, syncope, heart failure,
dizziness, palpitations or no
symptoms at all.
 There are two main types of
arrhythmia:
1. bradycardia: the heart
rate is slow (< 60 b.p.m.)
2. tachycardia: the heart
rate is fast (> 100 b.p.m.)
Arrhythmia
Treatment
 Medications to control heart rate
 Pacemaker
 Cardio version
 Ablation Therapy
 Implantable cardio verter
defibrillator
 Cardiac Electrophysiology Lab – EP
Lab
Medication
Angina (Angina Pectoris)
 Angina (also called angina pectoris) is chest pain that appears when the
muscle cells of the heart don't get enough blood to properly carry out their
pumping function.
Treatment of
angina
Vasodilators
Nitrates
e.g- Glyceryl
trinitrates
Calcium channel
blockers
e.g -Nifidipine
Cardiac
depressants
Beta blockers
e.g- Metaprolol
Potassium
channel
activators
e.g Nicorandil
Heart failure
 Heart failure is a chronic, progressive
condition.
 The heart muscle is unable to pump
enough blood to meet the body’s
needs for blood and oxygen.
 CO is inadequate to provide oxygen
needed by peripheral tissues.
Treatment
ACE inhibitors
Captopril
Enalapril
Beta blockers
Metoprolol
Bisoprolol
Diuretics
Furosemide
Mannitol
Heart attack
 Heart attack commonly known as Myocardial infarction (MI)
 Occurs when blood flow decreases or stops to a part of the heart
 causing damage to the heart muscle
 The most common symptom is chest pain or discomfort
Major drug groups used in heart
failure
Chronic Heart Failure
•Diuretics
•Vasodilators
•Cardiac glycosides
•Beta blockers
•Angiotensin receptor
blockers
Acute Heart failure
•Diuretics
•Vasodilators
•Oxygen
•Morphine
•Bipyridines
•Beta receptor
agonist: Dobutamine
Healthy heart tips
Pathophysiology of heart

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Pathophysiology of heart

  • 1. Welcome to My presentation presented by Quazi istiaque Bari ID-201730103007 Department of pharmacy
  • 3. Outline  Heart  Physiology & anatomy of heart  Functions of heart  Blood circulation  Diseases of heart  Arrhythmia  Angina  Heart failure  Heart attack  Healthy heart tips
  • 4. Heart  Heart is a vital organ of the body.  It is a muscular pump that circulates the blood.  An adult human heart weighs between 200 and 425 grams and is slightly larger than a fist.  In an average lifetime, a person's heart may beat more than 3.5 billion times.  Each day, the average heart beats 100,000 times, pumping about 7,600 liters of blood.
  • 6. Physiology & anatomy of heart (The Pericardium)  The heart is surrounded by membrane called Pericardium.  The pericardium is a fibroserous sac that encloses the heart and the roots of the great vessels.  The pericardium lies within the middle mediastinum.  Its function is to restrict excessive movements of the heart as a whole and to serve as a lubricated container in which the different parts of the heart can contract.
  • 7. Heart Wall The heart wall is made up of three layers:  Epicardium— outer protective layer of the heart.  Myocardium—muscular middle layer wall of the heart.  Endocardium—inner layer of the heart.
  • 8. The Heart Chambers Heart contains Four chambers Right Atrium Left Atrium Right Ventricle Left Ventricle
  • 9. Valves of heart 1) Atrioventricular valves: a) Tricuspid valve, located between the right atrium and right ventricle. b) Bicuspid or mitral valve, located between the left atrium and left ventricle. 2) Semilunar valves: a) Pulmonary valve, separates the right ventricle from the pulmonary arteries. b) Aortic valve, separates the left ventricle from the aorta.
  • 10. Function of heart  Pumping blood around the body is the main function of the heart.  Sending deoxygenated blood to the lungs to be oxygenated  Sending oxygenated blood to the whole body  Ensuring that oxygenated and deoxygenated blood do not mix (septum)  Preventing back flow of blood (valves)
  • 11. Blood circulation  It is the process of & lymph flow through a close system of vessels, called circulation.
  • 12. DISEASES OF HEART Arrhythmia Angina Heart failure Heart attack Hypertension
  • 13. Arrhythmia  An abnormality of the cardiac rhythm is called a cardiac arrhythmia. Arrhythmias may cause sudden death, syncope, heart failure, dizziness, palpitations or no symptoms at all.  There are two main types of arrhythmia: 1. bradycardia: the heart rate is slow (< 60 b.p.m.) 2. tachycardia: the heart rate is fast (> 100 b.p.m.)
  • 14. Arrhythmia Treatment  Medications to control heart rate  Pacemaker  Cardio version  Ablation Therapy  Implantable cardio verter defibrillator  Cardiac Electrophysiology Lab – EP Lab Medication
  • 15. Angina (Angina Pectoris)  Angina (also called angina pectoris) is chest pain that appears when the muscle cells of the heart don't get enough blood to properly carry out their pumping function.
  • 16. Treatment of angina Vasodilators Nitrates e.g- Glyceryl trinitrates Calcium channel blockers e.g -Nifidipine Cardiac depressants Beta blockers e.g- Metaprolol Potassium channel activators e.g Nicorandil
  • 17. Heart failure  Heart failure is a chronic, progressive condition.  The heart muscle is unable to pump enough blood to meet the body’s needs for blood and oxygen.  CO is inadequate to provide oxygen needed by peripheral tissues.
  • 19. Heart attack  Heart attack commonly known as Myocardial infarction (MI)  Occurs when blood flow decreases or stops to a part of the heart  causing damage to the heart muscle  The most common symptom is chest pain or discomfort
  • 20. Major drug groups used in heart failure Chronic Heart Failure •Diuretics •Vasodilators •Cardiac glycosides •Beta blockers •Angiotensin receptor blockers Acute Heart failure •Diuretics •Vasodilators •Oxygen •Morphine •Bipyridines •Beta receptor agonist: Dobutamine