Cardiac Disorders & Rehab Flashcards
What BP is considered hypertension?
140/90
What is malignant hypertension?
Diastolic BP > 125
What protein & value indicates high risk for atherosclerosis?
C-reactive protein> 3.0 mg/L
Optimal total cholesterol level?
< 200; >240 is high risk!
Optimal HDL level?
> 60; <40 is high risk!
Optimal LDL level?
< 100; >190 is high risk!
Optimal triglyceride level?
< 150; >500 is high risk!
What indicates acute MI on EKG?
ST elevation on V5 & V6
What indicates angina on EKG?
ST depression on V5 & V6
What heart sounds indicates MI?
S4
How long do sternal precautions last?
6-9 weeks
What should you do first in therapy after CABG?
Check incision site
What is least likely to be performed in evaluation after CABG?
MMT (don’t want to Valsalva)
Increased cardiac biomarkers indicate?
Myocardial infarction has occured and pt is not prepared for PT until levels return to normal
What does an echocardiogram show?
- Ventricular wall motion
- Cardiac valve function
- Estimation of ejection fraction
Why perform ETT?
To determine the RPP & the workload necessary for ischemic threshold before beginning aerobic ex
What is RPP?
The myocardial oxygen demand for workload
Symptoms of CHF?
SOB, orthopnea, pulmonary edema, anxiety & fatigue
Symptoms of right heart failure?
Depdendent edema, jugular vein distnsion, ascites (peritoneal edema)
What test is diagnostic for CHF?
Brain natriuretic peptide (BNP) > 500 (normal <100)
At home testing for CHF:
- Increased HR
- Decreased BP
- H2O sounds in lungs
- S3 added heart sound
Diagnostic values of ABI:
0.71-0.90 mild PAD
0.41-0.70 moderate PAD
<0.40 severe PAD
What indicates a TRUE aneurysm?
50% increase in noral diameter of vessel with weaking fo all 3 vessel layers
S1 heart sounds?
Closure of MITRAL & tricuspid valves
S2 heart sounds?
Closure of AORTIC & pulmonic valve
What is a significant change in going from supine to sit?
> 10 mmHg change in DBP
Normal resting RR?
12-20 breaths/min