Shared Flashcard Set

Details

Pathology: Cardiology Emergencies
Cardiology Emergencies
35
Pathology
Post-Graduate
02/16/2014

Additional Pathology Flashcards

 


 

Cards

Term
Coronary Artery Disease (CAD)
Definition
Occlusion of the coronary artery.
Term
atherosclerosis
Definition
1. Affects the inner lining of the aorta/ cerebral/ coronary blood vessels.

2.) Leads to the narrowing of those vessels and reduction in blood flow.
Term
intima
Definition
Inner walls of the arteries
Term
Atheroma
Definition
1. Fatty tissue deposited along the intima in a place of high turbulent blood flow.

2. starts with small amounts of fat and with time grow into a atheroma
Term
Plaque
Definition
An Atheroma that calcifies and hardens
Term
Arteriosclerosis
Definition
1. When calcium precipitates from the bloodstream and into the arterial walls.

2. Greatly decreases the arteries elasticity.
Term
thrombus
Definition
is a clot
Term
Thromboembolism
Definition
A clot that becomes dislodged
Term
How does Angina Pectoris Occur?
Definition
1. Supply of O2 to the myocardium is insufficient to meet the demand.
2. Cardiac muscle becomes Ischemic
3. Switches to anaerobic metabolism.
4. Anaerobic metabolism leads to build up of CO2, and lactic acids.
Term
Prinzmetal Angina
Definition
1. Temporary

2. Chest pain caused by coronary artery vasospasm
Term
Stable Angina
Definition
1. Experiences pain after a predictable amount of pain.

2. Predictable Location/ Intensity/ duration.
Term
What do chronic stable angina patients take?
Definition
Nitro
Term
Unstable Angina
Definition
1. Without prediction

2. Changes in Frequency/ Severity/ and Duration of pain.
Term
Acute Coronary Syndrome
Definition
Any group of clinical symptoms consistent with acute myocardial ischemia.
Term
angina on the 12 lead
Definition
St - Segment depression
Term
Acute Myocardial Infraction
Definition
Heart attack
Term
Left Coronary Artery occlusion usually infarcts?
Definition
1. Anterior
2. Lateral
3. Septal Walls of LV
Term
RCA occlusion usually infarcts?
Definition
Inferior Wall
Term
Subendocardial Myocardial Infarction
Definition
Ischemic process only affects the inner layer of muscle
Term
mural myocardial infarction
Definition
infarct extends through the entire wall of the ventricle.
Term
RCA perfuses
Definition
1. Right Atrium
2. Right Ventricle
3. Inferior Wall
4. SA/AV node (55% - sa, 90% - av
5. Posterior 1/3 of interventricular septum
Term
Right Marginal Branch
Definition
Posterior Wall of Right Ventricle
Term
LCA Perfuses
Definition
Bifurcates
1. LCX
2. LAD
Term
LAD Perfuses
Definition
1. Anterior Wall of the heart
2. Apex
3. Anterior 2/3 of interventricular septum
Term
LCX Perfuses
Definition
1. Left atrium
2. Left lateral wall
3. SA (45%)
4. AV (10%)
Term
Fibrionlytic Therapy
Definition
Dissolve the occluding clot causing the MI
Term
Percutaneous Coronary Intervention
Definition
1. balloons/ stents/ or other devices
2. used to recanalize the blocked artery.
Term
Dopamine at 1-2 ug dose what?
Definition
Increased renal perfusion
Term
Dopamine at 2-10 ug dose what?
Definition
Beta 1: increase rate and force
Term
dopmine at 10-20 ug dose what?
Definition
alpha: vasoconstiction
Term
orthopnea
Definition
breathing difficulty laying down
Term
digitalis preparations action
Definition

increase strength of contractions

 

Increas CO and slow conduction through the AV Junction

 

 

Term

digitalis side effects

 

Definition

Loss of appetite 

 

Nausea/ vomiting

 

headache 

 

blurred/ yellow vision

 

cardiac dysrhythmias (virtually any) 

Term
MONA
Definition

(1) Oxygen

(2) Aspirin

(3) Nitro

(4) Morphine 

Supporting users have an ad free experience!