264 Approach to the Patient with Possible Cardiovascular Disease Flashcards

1
Q

Complete cardiac diagnosis

A
  1. The underlying etiology.
  2. The anatomic abnormalities.
  3. The physiologic disturbances.
  4. Functional disability.
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2
Q

New York Heart Association Functional Classification:

Slight limitation of physical activity

Ordinary activity causes symptoms

A

NYHA Class II

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3
Q

New York Heart Association Functional Classification:

Inability to carry out any physical activity without discomfort

Symptoms at rest

A

NYHA Class IV

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4
Q

New York Heart Association Functional Classification:

No limitation of physical activity

No symptoms with ordinary exertion

A

NYHA Class I

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5
Q

New York Heart Association Functional Classification:

Marked limitation of physical activity

Less than ordinary activity causes symptoms

Asymptomatic at rest

A

NYHA Class III

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6
Q

Laboratory tests that can supplement a complete cardiac diagnosis

A

(1) ECG
(2) noninvasive imaging examinations (chest roentgenogram, echocardiogram, radionuclide imaging, computed tomographic imag- ing, positron emission tomography, and magnetic resonance imaging)
(3) blood tests to assess risk (e.g., lipid determinations, C-reactive protein or cardiac function (e.g., brain natriuretic peptide [BNP]
(4) occasionally specialized invasive examinations (i.e., cardiac catheterization and coronary arteriography
5) genetic tests to identify monogenic cardiac diseases

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