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Patho Exam 3 BP and Heart Function Disorders
Johns
23
Pathology
Graduate
11/13/2013

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Cards

Term
baroreceptor reflex
Definition
baroreceptors send APs to the Medulla Oblongata which affects the HR via sympathetic pathways to return the BP to its steady state MAP
Term
HTN: risks
Definition
Age: elderly
Gender: males > females
Race: AfAms > Caucs
Family history
diabetes
poor life habits
SES: lower > higher
SES
Term
HTN: target organ damage
Definition
Heart Break PaRK:
Heart: hypertrophy
Brain: dementia/cog impairment
PV: atherosclerosis
Retina: vision problems
Kidneys: nephrosclerosis
Term
HTN: Tx
Definition
Stepwise:
1. Lifestyle adjustment
2. drug
3. drug + low dose drug
4. drug + drugs PRN
HTN drugs reduce one of two things: space (vasodilation/reduce vasoconstriction) or volume (diuretics)
Term
HTN: in pregnancy
Definition
Types: Gestational, chronic, pre/ecclamptic
Treatment: bed rest, alcohol/tobacco/salt restriction, and delivering the baby (respectively)
Term
orthostatic Hypotension
Definition
>10 mmHg drop in blood pressure whilst standing erect
causes: hypovolemia, impaired pump function (age, immotility, spinal cord injury), impaired baro-reflexes (meds, age)
S&S: lightheadedness/dizziness/syncope (fall risk); tremor/palpitations/discomfort in head/neck; visual impairment
Term
cardiac tamponade
Definition
dangerous collection of fluid/pus/blood in the pericardium, compressing the heart making it difficult for the heart to pump
Term
pericardial effusion
Definition
accumulation of fluid in the pericardium
Term
pericarditis
Definition
acute, chronic, or constrictive (scarred) inflammation of the pericardium
Dx: friction rub (when breath is held)
Term
CHD
Definition
Coronary Heart Disease impaired coronary blood flow which is primary to many other conditions
imbalance between O2 supply and demand
Term
Tx of CHD
Definition
lifestyle changes, treat for angina, ischemia or any other secondary disorders present
Term
acute coronary syndromes
Definition
ischemic coronary diseases: ischemia, anginas, infarction, etc.
Term
MI
Definition
death of muscular tissue in the heart
Term
MI: clinical manifestations
Definition
severe crushing pain (substernal, neck, arm)/fatigue/weakness
GI complaints
Tachy/anxiety
pale/cool/moist skin
Term
MI: treatment
Definition
thrombolytic therapy
revascularization interventions
rehab
Term
cardiomyopathy
Definition
(often secondary to MI)
D-HARP
Dilated
Hypertrophic*
Arrythmogenic Right Ventricular (ARV)*
Restrictive
Peripartum
*result from chromosomal defect
Term
valvular heart disease
Definition
stenosis (inflammation, trauma) or incompetence of valves (regurgitation, prolapse)
Term
endocarditis/rheumatic heart disease
Definition
infection of the heart, colony growth and tissue destruction, anyone with port to circulatory system is at risk
rheumatic: strep infection reaches heart attacks mesenchyme (valves)
Term
stable angina
Definition
fixed atherosclerotic plaque w/ fibrous cap
chronic pain is a symptom, otherwise benign
Term
chronic stable angina
Definition
stable angina which causes blood flow/requirements imbalance
Term
variant/Prinzmetal angina
Definition
aka "vasospastic" angina: vessels constrict, restricting blood flow
Term
unstable angina
Definition
stable--> rupture--> inflammation--> clot--> unstable--> MI
Term
cardiomyopathy: Tx
Definition
pacemaker/defibrillator
symptom relief
heart transplant (damaged tissue won't heal)
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