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

76year-old female patient complains of weight gain, shortness ofbreath, 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.
 
In your Case Study Analysis related to the scenario provided, explain the following
·        The cardiovascular and cardiopulmonary pathophysiologic processes that result in the patient presenting these symptoms.
·        Any racial/ethnic variables that may impact physiological functioning.
·        How these processes interact to affect the patient