SlideShare a Scribd company logo
1 of 16
Welcome to
(Program Name)
CARDIAC FAILURE
(RIGHT, LEFT OR BOTH)
Definition: Cardiac failure means
inability of the heart to meet the
needs of the tissues.
CAUSES OF HEART FAILURE
MYOCARDIAL DYSFUNCTION
 IHD
 HYPERTENSION
 CARDIOMYOPATHY.
EXCESSIVELY ELEVATED PRELOAD
(VENOUS RETURN)
VALVULAR REGURGITATION, I.E.
 MITRAL REGURGITATION
 AROTIC REGURGITATION
EXCESSIVE AFTER LOAD
AROTIC STENOSIS
HYPERTENSION.
OBLIGATORY HIGH OUTPUT
 ANAEMIA
 THYROTOXICOSIS
 PAGETS DISEASE
 AV-SHUNTS
 BERIBERI
COMPROMISED VENTRICULAR FILING
 RESTRICTIVE CARDIOMYOPATHY
 CONSTRUCTIVE PERICARDITIS
 PERICARDIAL EFFUSION
DISTURBED RHYTHM
 ATRIAL FIBRILLATION
 TACHYCARDIA
 HEART BLOCK
FACTORS INVOLVED IN
HEART FAILURE
 VENOUS RETURN
 RESISTANCE COTRCTILITY
 MYOCARDIAL CONTRACTILITY
 SALT AND WATER RETENTION
CLASSIFICATION
 HEART FAILURE MAY BE
 LT SIDED
 RT SIDED
 BOTH SIDED
LEFT VENTRICULAR FAILURE
 HYPERTENSION
 CORONARY ARTERIOSCLEROSIS
 AORTIC VALVULAR DISEASE
 MITRAL REGURGITATION
 MYOCARDIAL INFARCTION
 CARDIOMYOPATHY
SYMPTOM
 ORTHOPNOEA DEVELOPS PAROXYSMAL
 DYSPNOEA OF VARIABLE DEGREE
 NOCTURNAL EXTERNAL FATIGUE
 WEAKNESS
 DYSPNOEA
>> P.T.O
SYMPTOM
 COUGH WITH EXPECTORATION WHICH
MAY BE FROTHY, WHITE OR PINK
 LEFT VENTRICULAR HYPERTROPHY
 RALES IN BOTH LUNGS
 NOCTURIA
 CYANOSIS
RIGHT VENTRICULAR FAILURE
 COR-PULMONALE SECONDARY TO
INTRINSIC LUNG DISEASE
 SECONDARY TO LEFT
VENTRICULAR FAILURE
 MITRAL STENOSIS
 TRICUSPID VALVULAR DISEASE
 EISENMENGER’S SUNDROME
BOTH SIDED FAILURE
 HYPERTHYROIDISM
 BERIBERI
 SEVERE ANEMIA
Good Luck

More Related Content

What's hot (18)

Congenital anomalies of the heart
Congenital anomalies of the heartCongenital anomalies of the heart
Congenital anomalies of the heart
 
10 small ascending aorta or aortic arch
10 small ascending aorta or aortic arch10 small ascending aorta or aortic arch
10 small ascending aorta or aortic arch
 
6 cyanotic congenital heart disease with decreased pulmonary
6 cyanotic congenital heart disease with decreased pulmonary6 cyanotic congenital heart disease with decreased pulmonary
6 cyanotic congenital heart disease with decreased pulmonary
 
Factor v leiden mutation
Factor v leiden mutationFactor v leiden mutation
Factor v leiden mutation
 
scimitar syndrome
scimitar syndrome scimitar syndrome
scimitar syndrome
 
15 dilatation of the azygos vein
15 dilatation of the azygos vein15 dilatation of the azygos vein
15 dilatation of the azygos vein
 
Congenital heart disease
Congenital heart diseaseCongenital heart disease
Congenital heart disease
 
Congenital cardiopathies (12)
Congenital cardiopathies (12)Congenital cardiopathies (12)
Congenital cardiopathies (12)
 
Myocardial infarction
Myocardial infarctionMyocardial infarction
Myocardial infarction
 
Pericardial Disease
Pericardial DiseasePericardial Disease
Pericardial Disease
 
Austin Journal of Clinical Cardiology
Austin Journal of Clinical CardiologyAustin Journal of Clinical Cardiology
Austin Journal of Clinical Cardiology
 
Congenital heart defects
Congenital heart defectsCongenital heart defects
Congenital heart defects
 
Pericardial effusion
Pericardial effusionPericardial effusion
Pericardial effusion
 
Revision de articulos
Revision de articulosRevision de articulos
Revision de articulos
 
Pediatrics
Pediatrics Pediatrics
Pediatrics
 
congenital heart disease & rheumatic heart disease
congenital heart disease & rheumatic heart diseasecongenital heart disease & rheumatic heart disease
congenital heart disease & rheumatic heart disease
 
Broad complex tachycardia
Broad complex tachycardiaBroad complex tachycardia
Broad complex tachycardia
 
4. heart pathology; hypertensive heart diseases
4. heart pathology; hypertensive heart diseases4. heart pathology; hypertensive heart diseases
4. heart pathology; hypertensive heart diseases
 

Similar to Cardiac failure(4)

Cardiovascular and hemolynphatic diseases word printable
Cardiovascular and hemolynphatic diseases word printableCardiovascular and hemolynphatic diseases word printable
Cardiovascular and hemolynphatic diseases word printableDevon Avis
 
Heart diseases
Heart diseasesHeart diseases
Heart diseasesraj kumar
 
Heart diseases
Heart diseasesHeart diseases
Heart diseasesraj kumar
 
Heart as a pump, heart failure & its treatment
Heart as a pump, heart failure & its treatmentHeart as a pump, heart failure & its treatment
Heart as a pump, heart failure & its treatmentChirantan MD
 
Mitral stenosis and regurgitation sushila
Mitral stenosis and regurgitation sushilaMitral stenosis and regurgitation sushila
Mitral stenosis and regurgitation sushilaSushilaHamal
 
Heart as a pump, heart failure & its treatment
Heart as a pump, heart failure & its treatmentHeart as a pump, heart failure & its treatment
Heart as a pump, heart failure & its treatmentChirantan MD
 
Heart as a pump, heart failure & its treatment
Heart as a pump, heart failure & its treatmentHeart as a pump, heart failure & its treatment
Heart as a pump, heart failure & its treatmentChirantan MD
 
DOC-20230319-WA0001._compressed.pdf
DOC-20230319-WA0001._compressed.pdfDOC-20230319-WA0001._compressed.pdf
DOC-20230319-WA0001._compressed.pdfssuser3cec66
 
Restrictive cardiomyopathy
Restrictive cardiomyopathyRestrictive cardiomyopathy
Restrictive cardiomyopathyNizam Uddin
 
Cardiomyopathiesclassification,oetiology and treatment
Cardiomyopathiesclassification,oetiology and treatmentCardiomyopathiesclassification,oetiology and treatment
Cardiomyopathiesclassification,oetiology and treatmentPijush Kanti Mandal
 
Acs0412 Pericardial Procedures
Acs0412 Pericardial ProceduresAcs0412 Pericardial Procedures
Acs0412 Pericardial Proceduresmedbookonline
 
cardiomyopathies-130130101714-phpapp02.pptx
cardiomyopathies-130130101714-phpapp02.pptxcardiomyopathies-130130101714-phpapp02.pptx
cardiomyopathies-130130101714-phpapp02.pptxJeenaRaj10
 
Cardiology revision dr.ahmed-mowafy
Cardiology revision dr.ahmed-mowafyCardiology revision dr.ahmed-mowafy
Cardiology revision dr.ahmed-mowafyczer Shmary
 

Similar to Cardiac failure(4) (20)

Cardiomyopathies
CardiomyopathiesCardiomyopathies
Cardiomyopathies
 
Cardiovascular and hemolynphatic diseases word printable
Cardiovascular and hemolynphatic diseases word printableCardiovascular and hemolynphatic diseases word printable
Cardiovascular and hemolynphatic diseases word printable
 
2012 cardiac lecture 2 pathologies
2012 cardiac lecture 2 pathologies2012 cardiac lecture 2 pathologies
2012 cardiac lecture 2 pathologies
 
Heart diseases
Heart diseasesHeart diseases
Heart diseases
 
Heart diseases
Heart diseasesHeart diseases
Heart diseases
 
Heart as a pump, heart failure & its treatment
Heart as a pump, heart failure & its treatmentHeart as a pump, heart failure & its treatment
Heart as a pump, heart failure & its treatment
 
Mitral stenosis and regurgitation sushila
Mitral stenosis and regurgitation sushilaMitral stenosis and regurgitation sushila
Mitral stenosis and regurgitation sushila
 
Heart as a pump, heart failure & its treatment
Heart as a pump, heart failure & its treatmentHeart as a pump, heart failure & its treatment
Heart as a pump, heart failure & its treatment
 
Heart as a pump, heart failure & its treatment
Heart as a pump, heart failure & its treatmentHeart as a pump, heart failure & its treatment
Heart as a pump, heart failure & its treatment
 
Pericardial diseases
Pericardial diseasesPericardial diseases
Pericardial diseases
 
Heart part-1
Heart part-1Heart part-1
Heart part-1
 
DOC-20230319-WA0001._compressed.pdf
DOC-20230319-WA0001._compressed.pdfDOC-20230319-WA0001._compressed.pdf
DOC-20230319-WA0001._compressed.pdf
 
Restrictive cardiomyopathy
Restrictive cardiomyopathyRestrictive cardiomyopathy
Restrictive cardiomyopathy
 
Cardiovascular system
Cardiovascular systemCardiovascular system
Cardiovascular system
 
Cardiomyopathiesclassification,oetiology and treatment
Cardiomyopathiesclassification,oetiology and treatmentCardiomyopathiesclassification,oetiology and treatment
Cardiomyopathiesclassification,oetiology and treatment
 
hypoglycemic brain injury
hypoglycemic brain injuryhypoglycemic brain injury
hypoglycemic brain injury
 
Acs0412 Pericardial Procedures
Acs0412 Pericardial ProceduresAcs0412 Pericardial Procedures
Acs0412 Pericardial Procedures
 
Heart failure (mma) 3
Heart  failure (mma) 3Heart  failure (mma) 3
Heart failure (mma) 3
 
cardiomyopathies-130130101714-phpapp02.pptx
cardiomyopathies-130130101714-phpapp02.pptxcardiomyopathies-130130101714-phpapp02.pptx
cardiomyopathies-130130101714-phpapp02.pptx
 
Cardiology revision dr.ahmed-mowafy
Cardiology revision dr.ahmed-mowafyCardiology revision dr.ahmed-mowafy
Cardiology revision dr.ahmed-mowafy
 

Recently uploaded

Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...hotbabesbook
 
Call Girls Haridwar Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Haridwar Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Haridwar Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Haridwar Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...aartirawatdelhi
 
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...Dipal Arora
 
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...chandars293
 
Lucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel roomLucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel roomdiscovermytutordmt
 
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...Arohi Goyal
 
Call Girls Tirupati Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Tirupati Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Tirupati Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Tirupati Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Dipal Arora
 
Call Girls Bangalore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bangalore Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Bangalore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bangalore Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...Dipal Arora
 
Bangalore Call Girls Nelamangala Number 9332606886 Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 9332606886  Meetin With Bangalore Esc...Bangalore Call Girls Nelamangala Number 9332606886  Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 9332606886 Meetin With Bangalore Esc...narwatsonia7
 
Top Rated Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...
Top Rated  Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...Top Rated  Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...
Top Rated Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...chandars293
 
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls  Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls DelhiRussian Escorts Girls  Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls DelhiAlinaDevecerski
 
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...Taniya Sharma
 
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...parulsinha
 

Recently uploaded (20)

Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
 
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
 
Call Girls Haridwar Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Haridwar Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Haridwar Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Haridwar Just Call 9907093804 Top Class Call Girl Service Available
 
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
 
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...
 
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
 
Lucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel roomLucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel room
 
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
 
Call Girls Tirupati Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Tirupati Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Tirupati Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Tirupati Just Call 9907093804 Top Class Call Girl Service Available
 
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
 
Call Girls Bangalore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bangalore Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Bangalore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bangalore Just Call 9907093804 Top Class Call Girl Service Available
 
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...
 
Bangalore Call Girls Nelamangala Number 9332606886 Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 9332606886  Meetin With Bangalore Esc...Bangalore Call Girls Nelamangala Number 9332606886  Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 9332606886 Meetin With Bangalore Esc...
 
Top Rated Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...
Top Rated  Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...Top Rated  Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...
Top Rated Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...
 
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
 
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls  Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls DelhiRussian Escorts Girls  Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
 
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
 
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
 
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
 

Cardiac failure(4)