Cardiac Disease Flashcards

1
Q

Name the Layers of the Heart Wall

A
Pericardium
Pericardial Space
Epicardium
Myocardium
Endocardium
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2
Q

Name 5 Acquired Heart Diseases

A
Hypertrophic Cardiomyopathy
Dilated Cardiomyopathy
Pericarditis
Endocarditis
Endocardiosis
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3
Q

Name Congenital Heart Diseases

A
Patent Ductus Arteriosis
Pulmonic/Aortic Stenosis
Ventricular/Atrial Septal Defect
Mitral/Tricuspid Dysplasia
Tetralogy of Fallot
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4
Q

What is the Aetiology of

Dilated Cardiomyopathy

A

Idiopathic or Inherited Genetic Defect
Predisposed in Boxers, Great Danes and Wolfhounds
More common in Males, and those over 6 YO
Can be Secondary to Parvo
Can be caused by veggie diet - Taurine Deficiency

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5
Q

What is the Pathophysiology of

Dilated Cardiomyopathy

A

Heat becomes enlarged
The Ventricle muscle stretches and becomes thin
The myocardium becomes flaccid and weak
Usually affects the LEFT - Ventricle
the valves then stretch, become thin and break causing Regurgitation of blood between Atrium and Ventricle and atrial enlargement
Leads to Arrhythmia
Decreased Cardiac Output leads to Congestive Heart Failure

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6
Q

What are the clinical signs of

Dilated Cardiomyopathy

A

LEFT VENTRICLE
Coughing, Pulmonary Oedema
RIGHT VENTRICLE
Abdominal Ascites

Lethargy, Depression, Exercise Intolerance, Murmur, Pale MM

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7
Q

What is the treatment for

Dilated Cardiomyopathy

A

treatment of symptoms
Myocardial Stimulants to strengthen contractions
Diuretics to reduce fluid and decrease BP
Taurine supplement if dietary cause

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8
Q

What is the Aetiology for
Hypertrophic Cardiomyopathy
(Feline HCM)

A

most common acquired cardiac disease in cats
Can be Idiopathic
Maine Coons are predisposed by a Genetic Defect

Secondary to Hyperthyroidism by increased levels of thyroxine causing increased HR and therefore
Hypertrophy

Secondary to Raised BP as more effort is required to circulate blood causing Hpertrophy

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9
Q

What is the Pathophysiology of

Hypertrophic Cardiomyopathy

A

Enlargement of Heart muscle
therefore Reduced Space in Ventricular Chambers
therefore Reduced Stroke Volume and CO

Backpressure of blood caused Atrial Enlargement as a compensatory mechanism

Heart Failure may only be seen in advanced stages esp. in cats.

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10
Q

What are the Clinical Signs of

Hypertrophic Cardiomyopathy

A

Heart Murmur
Lethargy, Depression, Anorexia

Aortic Thromboembolism - usually seen in hind limbs, caused by blood supply not reaching the hind limbs causing paralysis

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11
Q

What is the Treatment for

Hypertrophic Cardiomyopathy

A

treatment of symptoms
Aspirin if Thromboembolism likely

if secondary to hyperthyroidism, treat this first

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12
Q

What is the Aetiology of

Endocardiosis

A

most common acquired cardiac disease in dogs
may be Hereditary but generally Idiopathic
tends to affect small breeds, and is rare in cats

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13
Q

What is the Pathophysiology or

Endocardiosis

A

Progressive Degeneration of the AV Valves
valve tissue tries to repair, but becomes thickened
lesions develop from scar tissue
therefore valves cannot close properly
causing regurgitation of blood into atria
leads to Cardiac Enlargement and Output Failure

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14
Q

What are the Clinical Signs of

Endocardiosis

A
Heart Murmur
Orthopnoea - cough in morning and night
Exercise Intolerance 
Lethargy, Depression, Anorexia
Dyspnoea and Ascites depending on severity
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15
Q

What is the treatment for

Endocardiosis

A

treatment is symptomatic

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16
Q

What is the Aetiology of

Endocarditis

A

Usually caused by bacterial infection such as septicemia

Can affect valves as well as endocardium

17
Q

What is the Pathophysiology of

Endocarditis

A

Inflammation of the Endocardium

Inner most heart layer

18
Q

What is the Clinical Signs of

Endocarditis

A
Systematically unwell
Cough, Dyspnoea
Heart Murmur
Arrhythmia
Syncope
19
Q

What is the Treatment for

Endocarditis

A

Antibiotics

20
Q

What is the Aetiology for

Pericarditis

A

Inflammation of the Percardium due to infection or trauma

21
Q

What is the Pathophysiology for

Pericarditis

A

Can be Idiopathic
or due to infection, trauma or neoplasia
can be caused by pericardial effusion which causes excess pressure on the ventricles reducing the ability to fill, therefore causing backpressure and reducing CO

22
Q

What are the Clinical Signs of

Pericarditis

A

Signs Associated with Cardiac Output Failure

23
Q

What is the Treatment for

Pericarditis

A

Draining of the Effusion
Pericardial Heart Surgery
Antibiotics may help if caused by infection

24
Q

What Four diseases make up the Tetraology of Fallot

A

Ventricular septal defect
Pulmonary Stenosis.
Right ventricular hypertrophy
An overriding aorta