3 - Cardiac Pathology Flashcards

1
Q

pathology of the heart which results in a reduction in cardiac output as a result of the hearts inadequacy as a pump, leads to reduced perfusion and increased congestion of tissue

A

congestive heart failure

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2
Q

2 types of congestive heart failure:

A

right-sided and left-sided

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3
Q

right sided failure-

results in pooling in _

A

right ventricle, atria, and venous system

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4
Q

right sided failure will affect _ and _

A

blood flow back from viscera and lymph return from tissue to the vasculature

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5
Q

pulmonary semilunar and tricuspid failure result in _-sided heart disease

A

right

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6
Q

_-sided failure elicits an autonomic response or renal implications

A

left

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7
Q

_-sided failure is more intense

A

left

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8
Q

left-sided failure results in decreased output to _

A

general circulation/body

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9
Q

left sided failure leads to increased _ pressure in left ventricle

A

end diastolic

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10
Q

with left sided failure, blood will back up to _

A

lungs, resulting in pulmonary edema

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11
Q

mitral or aortic semilunar valve failure leads to _-sided failure

A

left

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12
Q

manifestations of left-sided failure:

A
PULMONARY EDEMA
cough
dyspnea
decreased exercise tolerance
weight gain
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13
Q

as cardiac output decreases, we will see _ kick in to maintain normal cardiac output

A

compensatory mechanisms (compensated heart failure)

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14
Q

classic CHF:

  • activation of _ division of ANS
  • increase in heart rate and force of myocardial contraction
A

sympathetic

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15
Q

when compensate is loss, you will see _ heart failure

A

uncompensated

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16
Q

dec cardiac output = decreased renal blood flow,
= sodium _
= water _
= _ blood urea nitrogen levels

A

retention
retention
increased

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17
Q

reduced renal blood flow will result in activation of renin-angiotensin-aldosterone mechanism, resulting in _ sodium and water

A

more retention

18
Q

pulmonary congestion will result in pulmonary _

A

interstitial edema

19
Q

pulmonary edema caused from left side will increase pulmonary arterial resistance and may result in _

A

right sided failure

20
Q

intermittent chest pain associated with myocardial ischemia

A

angina pectoris

21
Q

episodic chest pain associated with exertion or stress, 75% narrowing of one coronary artery, pain is reduced with nitroglycerine

A

classic/typical angina

22
Q

angina that occurs at rest or while sleeping, awakens person from sleep

A

variant angina

23
Q

increased frequency of anginal pain, indicative of potentially irreversible myocardial infarction

A

unstable angina

24
Q

areas of ischemic death or necrosis of the myocardial tissue

A

acute myocardial infarction/sudden cardiac death

25
Q

single most common cause of death in the western world

A

acute myocardial infarction (AMI) /sudden cardiac death

26
Q

myocardial necrosis begins within _ minutes of coronary artery occlusion;
it will reach full size in _ hours

A

20-30

3-6

27
Q

necrosis from AMI will begin in _ tissue due to those areas being the most poorly perfused

A

subendocardial

28
Q

_ tissue is most vulnerable to ischemic injury

A

subendocardial tissue

29
Q

AMI affecting myocardium only

A

intramural

30
Q

AMI affecting all 3 layers of heart

A

transmural

31
Q

associated with pathology to SA node

A

sinus arrhythmia

32
Q

premature atrial contractions

A

atrial arrhythmias

33
Q

PVC

A

ventricular arrhythmias

34
Q

A-V blocks

A

conduction defects

35
Q

valvular heart disease has to major mechanisms:

A
  1. inc stress/workload on heart by obstruction or regurgitation
  2. abnormal valves are more susceptible to infection
36
Q

most common cause of myocarditis

A

infection

37
Q

heart disease resulting from a primary abnormality in the myocardium

A

cardiomyopathies

38
Q

dilated hypertrophy, dilation and contractile dysfunction

A

dilated cardiomyopathy

39
Q

associated with ineffective contraction and thin ventricular walls

A

dilated cardiomyopathy

40
Q

myocardial hypertrophy, abnormal diastolic filling and ventricular outflow obstruction

A

hypertrophic cardiomyopathy

41
Q

powerful contractions but minimal cardiac output resulting from low end diastolic volume and restrictive outflow

A

hypertrophic cardiomyopathy