Dual-Loop Hemodynamic Microstate
Timeline Hour: 12.0 hrs
Left Atrial Press. (LAP)
24.5 mmHg
Threshold: >20 mmHg (Fluid Leaking)
Plasma Volume Exp.
+850 mL
Baseline: 3,000 mL
Mean Arterial Press. (MAP)
100.5 mmHg
Baseline: 92 mmHg
Stroke Volume (SV)
78 mL
End-Diastolic Preload
Meal Load & Physiological Parameters
Timeline Scrubber (Hours Post Meal)
12.0 hrs
Dietary Sodium Intake (Lasagna Tray)
6,800 mg
Concomitant Fluid Bolus
2,200 mL
Baseline Cardiac Ejection Fraction (EF)
45% EF (Borderline)
Starling Osmotic Mechanisms
Ingesting 6,800mg sodium in a heavy lasagna meal rapidly raises extracellular osmolarity. Water shifts from intracellular spaces into systemic capillaries, expanding intravascular plasma by +850 mL. In a heart with borderline ejection fraction, this surge increases venous return and cardiac preload beyond compliance, spiking Left Atrial Pressure to 24.5 mmHg and pushing pulmonary capillary pressure past the Starling filtration threshold into alveolar flooding.