76-year-old female patient complains of weight gain, shortness of breath, peripheral edema, and abdominal

76-year-old female patient complains of weight gain, shortness of breath, peripheral edema, and abdominal swelling. She has a history of congestive heart failure and admits to not taking her diuretic, as it makes her “have to get up every couple hours to go to the bathroom.” She now has to sleep on two pillows in order to get enough air.

The cardiovascular and cardiopulmonary pathophysiologic processes that result in the patient presenting these symptoms.

Remember to use the terminology related to pathophysiological aspects of the process of heart disease or problem. D
Any racial/ethnic variables that may impact physiological functioning.
Remember to use the pathophysiological aspects of the racial//ethinic variables. Think of RAAS SYSTEM. This system regulates sodium and water absorption in the renal which significantly has a direct impact on the blood pressure. We call it a complex multi-organ endocrine hormone system. Think of this when you identify your populations. Which population do we worry about the RAAS syndrome?
Do not just tell me the variables here are socioeconomic conditions or lack of males wanting to get help. While these are all true it is not the answer that I am looking for here.
How these processes interact to affect the patient.
Remember to how do the above processes you mentioned interact to affect the short term and long term effects of the patient.