Denial Codes. The Ohio Department of Developmental Disabilities [DODD] submits all I/O, LV, and SELF. waiver claims to the Ohio Department of Medicaid [ODM] for final approval or denial through. the Medicaid Information Technology System [MITS]. Any claim denied by ODM cannot be paid.
Afterload can be thought of as the load that the heart must eject blood against. In simple terms, the afterload is closely related to the aortic pressure. To appreciate the afterload on individual muscle fibers, afterload is often expressed as ventricular wall stress (Ï), where.
I'm confused by the diagram on p. 250 of my 2007 First Aid, which indicates that diuretics help reduce afterload (which contributes to their usefulness in treating heart failure). It's very clear to me how diuretics reduce preload, simply by reducing the amount of intravascular blood. And I understand how this reduced preload is helpful for patients with CHF. And of course it would be *nice* if diuretics also reduced afterload, because that, too, would help reduce cardiac demand. But to my mind, afterload is mediated principally by arteriolar constriction, which if anything should INCREASE in the setting of reduced intravascular volume.