This dysfunction is due to damage to the myocardium, the middle layer of the heart muscle. Damage to the myocardium prevents the heart from contracting as forcefully and pumping blood as efficiently as it should. This is the squeezing phase of the blood up through the heart. The stroke volume divided by the end diastolic volume, and multiplied by 100 gives you the ejection fraction, which should be fifty to seventy percent when normal, forty to fifty percent would be considered borderline, and anything that is forty percent or less would indicate systolic heart failure because the heart would only be squeezing out a little blood during each …show more content…
The pulmonary vessels will then get congested with blood. The backup increases the blood pressure in the pulmonary vessels and causes pulmonary hypertension that leads to pulmonary edema. Pulmonary edema is the leakage of fluid into airspaces of the lungs. This occurs because the body tries to lessen the severity of the pulmonary hypertension by leaking excess fluid in the vessels into the empty spaces in the lungs. The empty spaces in the lungs now filling with fluid are normally used for the oxygenation of the blood. The lungs that are now full of fluid cause dyspnea, a shortness of breath since oxygen exchange is impaired because of fluid in the