Question

please help and critically answer these part a & b! thank you

5) Background: Sybil is an 63 year old female patient under the care of a cardiologist. She has a congenital heart defect known as pulmonary stenosis. She was diagnosed as a child, but the condition was mild enough that it did not require treatment. Unfortunately, Sybil's 2-pack a day smoking habit for the past 45 years further strained her already compromised heart function and she has now developed congestive heart failure (CHF). Part A) Describe how Sybil's heart defect led to the development of CHF. What side of her heart is affected? What symptoms might she be experiencing? How does her smoking habit exacerbate her condition? Part B) Sybil's friend Jane is a 65 year old female who also has CHF. Jane has never smoked, and yet experiences many pulmonary symptoms that we often associate with smoking (coughing, shortness of breath, tachypnea, etc). Jane wonders why she is experiencing these symptoms if she has never smoked. If you were Jane's cardiologist, how would you explain to her that the cause of her symptoms is her heart, not her lungs? How do you think Jane's CHF differs from Sybil's?

Answer 1

Part A: Some congenital heart defects like pulmonary stenosis cause more blood supply to lungs that cause buildup with heart work more. due to this heart muscle become weak and that cause problem with a heart valve. In pulmonary stenosis heart, right ventricle pump more blood to a pulmonary artery due to this heart become weak that can not pump very efficiency that leads to the right side of her heart became affected. the patient may experience enlarged jugular vein, heart murmur, skin bluish discoloration, chest pain,fatigue, and palpitations. Nicotine in cigarettes reduces oxygen supply to the heart that increases blood pressure and heart rate, plaque formation in the arteries and veins make obstruction that leads to heart failure.
Part B: There is a link between cigarette exposure that causes congestive heart failure for nonsmokers. it causes symtopms assoriated with persistant cough, rapid heart beat, swelling of the legs, ankle, and feet, fatigue, shortness of breath. jane congestive heart failure due to second-hand smoking exposure that increases her risk for CHF, but Sybil's CHF from her congenital heart defect that increases her risk due to smoking habit that made CHF.