11 Cardiovascular system pathology Flashcards
arrhythmias
abnormal hear rhythms, problem with electrical or conduction system
bradycardia and heart block (atrioventricular block)
failure of proper conduction of impulses from the SA node though the AV node to the atrioventricular bundle
flutter
rapid but regular contractions, usually of the atria, symptomatic of heart disease (meds, cardovert, ablation)
fibrillation
very rapid, random, inefficient, and irregular contractions of the heart (350+/min)
AF atrial fibrillation
can lead to stroke because of ineffective and weak atrial contractions, leads to clots
VF ventricular fibrillation
electrical impulses move randomly through the ventricles, life threatening. need defibrilation so normal rhythm can take over
ICD (implantable cardiac defibrillator
terminates arrhythmia with a shock
catheter ablation
destroy tissue that causes arrhythmia with radio-frequency energy from the tip of a catheter
coarction of the aorta
(CoA) narrowing of the aorta
patent ductus arteriosus (PDA)
passageway between the aorta and the pulmonary artery remains open(patent) after birth
septal defects
small holes in the wall between the atria or the ventricles, heart-lung machine needed for surgical repair
tetralogy of Fallot
congenital malformation involving four distinct heart defects. (blue baby)
tetralogy of Fallot
pulmonary artery stenosis, ventricular septal defect, shift of the aorta to the right, hypertrophy of the right ventricle
Congestive Heart failure (CHF)
Heart is unable to pump its required amount of blood, systolic and diastolic CHF, leads to sob and fluid retention (pulmonary edema)
Tx for CHF
Angiotensin-converting enzyme (ACE) inhibitors (type I), beta-blockers, and digoxin
coronary artery disease (CAD)
disease of arteries surrounding the heart, usually result of athersclerosis- leads to thrombotic occlusion, when ischemia leads to necrosis you get an infarction
Acute coronary syndromes (ACSs)
conditions cause by myocardial ischemia: unstable angina and myocardial infarction
nitroglycerin/nitrate effect
vasodilator increase coronary bloodflow and lowers bp
drugs to prevent CAD and ACSs
aspirin (prevent clumping of platelets), beta-blockers (reduce force and speed of heart beat and lower bp), ACE inhibitors ( reduce high bp), calcium channel blockers (relax muscles in blood vessels), statins (lower cholesterol lvl)