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Pathology Exam 2 Cardiovascular
Cardio
47
Pathology
Graduate
07/27/2016

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Term
modifiable risk factors for ischemic heart disease
Definition
-Smoking
-Elevated serum cholesterol
-Hypertension
-Obesity/Inactivity
-Impaired glucose metabolism
-Stress
Term
non-modifiable risk factors for ischemic heart disease
Definition
-Age
-Gender
-Family Hx
-Ethnicity
Term
angioplasty
Definition
stent placed at the site of plaque build up in affected artery, to widen the lumen and help restore regular blood flow
Term
Coronary artery bypass graft
Definition
replacing compromised coronary arteries with graft, oftern from
-mammary artery, leg vein, or radial artery.
Term
Treatments for heart diseases/problems
Definition
-Heart contraction controlling meds
-HTN meds
-Lipid reducing meds
-Vasodilators
-Platelet inhibitors
-Thrombolytics
Term
Exercise management after heart surgery
Definition
-Angina
-Sternal precautions after surgery
-Leg precautions
-Progressive activity
Term
surgical options for atherosclerosis
Definition
angioplasty/stent
bypass
Term
SA node is supplied by the
Definition
right coronary artery
Term
myocardial infarction
-cause
Definition
-artery blockage leads to ischemia
-or plaque releases causing clot
Term
myocardial infarction
-diagnosis
Definition
-Interruption in normal EKG
Term
main cause of angina
Definition
ischemia
Term
-walk 2 minutes, then leg starts hurting.
goes away when walking.
Definition
Arterial occlusive disease
ischemia, perhaps due to occlusion of vessels, with pain corresponding with increased oxygen demand.
Term
Homans
Definition
test used to detect DVT, squeeze the calf and it hurts.
Term
Raynauds
Definition
spasm of the small arteries and arterioles with exposure to cold
-usually in extremities
Term
hierarchy of blood vessels from aorta - vena cava
Definition
aorta->Arteries->arterioles->capillaries->
->venules->veins->vena cava
Term
layers of blood vessels
-from superficial to deep
Definition
Connective tissue - tunica adventitia
Smooth muscle layer - tunica media
Elastic membrane -
Endothelium - tunica intima
Term
muscle pump mechanism
Definition
pumps blood from the veins into the heart
Term
Signs and symptoms of Cardiovascular Disease
Definition
-Chest pain , shoulder, neck, jaw, arm pain (pressure)
-Palpitations – strong and irregular heart beat
-Dyspnea
-Syncope – low bp, loss of consciousness
-Fatigue
-Cyanosis
-Edema
-Nausea/vomiting
Term
movement of blood through the heart
Definition
superior/inferior vena cava ->
right atrium
tricuspid valve to right ventricle
pulmonary valve to pulmonary artery
lungs
left atrium
bicuspid/mitral valve to left ventricle
aortic valve to aorta
Term
arteriosclerosis
-what can it lead to?
-describe it
Definition
-can lead to ischemic heart disease
-thickening, loss of elasticity in arteries
-thickening of the arterial wall due to plaque accumulation
Term
Atherosclerosis
Definition
narrowing of the artery due to plaque build up
-can lead to ischemic heart disease
Term
progress of artherosclerosis
Definition
1.Normal vessel -> fatty streak in intima ->intermediate lesion ->atheroma(lipid deposit) ->rupture and thrombosis -> fibrous plaque
Term
myocardial ischemia
-symptoms
Definition
Angina pectoris (myocardial pain)
Term
hypertension treatment
Definition
-lifestyle change
-drug therapy
Term
drug therapy for hypertension includes
Definition
-ACE inhibitors
-beta blockers
-calcium channel blockers
-diuretics
Term
parts of the heart associated with myocardial infarction
Definition
-Right coronary artery
-left coronary artery
----anterior descending branch to anterior left ventricle
----left circumflex, to the anteriolateral or posteriolateral left ventricle
Term
congenital heart failure types
Definition
-Systolic heart failure
-Diastolic failure
-Left-sided
-Right sided
Term
left sided congestive heart failure
symptoms
Definition
-Dyspnea
-Pulmonary edema
-Fatigue
Term
right sided congestive heart failure
symptoms
Definition
-Dependent edema
-Jugular vein distention
-Abdominal distention
-Liver congestion
-Cyanosis
Term
arrhythmia
broad definition
Definition
-irregular heart rate
-irregular heart rhythm
Term
arrhythmia
-rates
Definition
Tachycardia – over 100bpm
Bradycardia – under 60bpm
Term
arrhythmia
-rhythm irregularities
Definition
-Atrial fibrillation
-Ventricular fibrillation
-Heart block
-Sick sinus syndrome
Term
treatments for arrhythmia
Definition
-Drug therapy
-Electrical (shock the heart, defibrillation)
-Invasive ablation
Term
mitral valve stenosis causes...
Definition
-mitral valve thickening and narrowing
-increased atrial pressure and pulmonary vein congestion
-
Term
diagnoses of mitral valve stenosis
Definition
echocardiography
Term
treatment for mitral valve stenosis
Definition
-valve replacement
-valve repair
Term
pericarditis
-causes
Definition
-typically idiopathic (spontaneous)
-autoimmune disease
-infection
- injury
-metabolic disorders
Term
pericarditis symptoms
Definition
pain breathing and in certain positions
Term
aneurysm
-what is it?
Definition
stretching off a vessel wall
Term
aneurysm
when monitored vs surgery?
Definition
-monitored if less than 5cm
-surgery if larger, to insert stent or graft
Term
aneurysm symptoms
Definition
pain is impinging, but otherwise asymptomatic
Term
peripheral vascular disease
-inflammatory disorders overview
Definition
inflammation of blood vessels results in narrowing or occlusion, and possibly aneurysm
Term
examples of inflammatory peripheral vascular disease
Definition
Vasculitis-
Buerger’s dz
Kawasaki Dz
Term
arterial occlusive disease
-causes and outcome
Definition
-arteriosclerosis or arterial thrombosis and embolism
-prone to open wounds
Term
thrombophlebitis
Definition
inflammation of vein caused by blood clot
Term
DVT
Definition
deep vein thrombosis
caused by bed rest, tested with homans sign
Term
venous insufficiency
Definition
veins not functioning, leads to pooling blood, lack of O2, cyanotic, edema
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