Cardio Flashcards
LOCATION & LEVEL:
Apex
Base
Anterior, inferior to the L — approx 5th rib
Posterior, superior to the R — approx 2nd ord 3rd rib
Normal production of Pericardial fluid
50mL
Anterior Surface
Other name?
Structures?
Mainly?
Sternocostal Surface
R atrium, R ventricle
R ventricle
Posterior Surface
Other name?
Structures?
Mainly?
Base surface
R atrium, L atrium
L atrium
Inferior Surface
Other name?
Structures?
Mainly?
Diaphragmatic Surface
R ventricle, L ventricle
L ventricle
BRANCHES OF ASCENDING AORTIA
Bcd, LCC , LA SALLE
Brachiocephalic
L common carotid
L subclavian artery
Ventricular gallop
S3
Atrial gallop/ atrial systole
S4
BPM?
SA Node
AV Node
Bundle of His
70-80 bpm
50-60bpm
15-40 bpm
PHASES OF CARDIAC ACTION POTENTIAL
Phase 0 Phase 1 Phase 2 Phase 3 Phase 4
Depolarization Inital Repo Plateau Repo RMP
Pulse Pressure formula??
SBP - DPB = PP
END DIASTOLIC normal value?
120mL
END SYSTOLIC normal value?
50mL
STROKE VOLUME
Formula?
N value?
EDV - ESV = SV
70mL
CARDIAC OUTPUT normal value?
4-6L
MEAN ARTERIAL PRESSURE formula
(1) SBP + 2 (DBP) / 3
Other name of CHRONIC STABLE ANGINA
Predictable Angina
Other name of UNSTABLE ANGINA
Progressive Angina
Crescendo Angina
Pre-infarction Angina
Other name of PRINZMETAL ANGINA
Variant Angina
Angina Inversia
Other name of CAD
Ischemic Heart Disease
Acute Coronary Syndrome
Other name of MI
Heart Attack
Coronary Occlusion
Other name of CHF
Cardiac Decompensation
True MI
ST segment elevation + increase cardiac enzyme
Most serious complication of MI
CHF
PERICARDITIS
Aggravating Factor?
Relieving Factor?
Trunk mvts (esp side to side)
Quadruped/leaning forward
TOF
P
A
R
I
Pulmonary artery stenosis
Overriding of Aorta to the right
R ventricular hypertrophy
Interventricular septal defect
TRUE BLUE BABY
1st cardiac enzyme to rise during heart attach
CK-MB
Karvonen’s Formula?
60-80% (MHR-RHR) + RHR
Location of GREATER SAPHENOUS VEIN?
Medial aspect of the leg and the thigh to join the FEMORAL VEIN
Location of LESSER SAPHENOUS VEIN?
Lateral malleolus to the posterior leg to join the popliteal leg
MC arterial disease?
ASO
TAO aka?
Buerger’s disease
Most serious complication of varicosities?
SVT
(ASO)
Arteries affected in:
NON-DM PATIENTS?
DM PATIENTS?
(mnemonics??)
FAC FT
Femoral
Abdominal
Common Iliac artery
Femoral artery
Tibial artery
Virchow’s Triad
H
I
V
Hypercoagubility
Intimal wall damage
Venous stasis
MC form of venous disease?
CVI
CVI Stages
I -
II -
III -
I - edema + pigmentation (hemosiderin)
II - edema + pigmentation + varicosities + dermatitis
III - ulceration (MC manifestation of CVI)
MC manifestation of CVI
ULCERATION
PRIMARY LYMPHEDEMA
Congenital edema after edema?
Edema present <35 y.o
> edema present 35y.o
Milroy’s
Lymphedema Praecox
Lymphedema Tarda
2 to chromosome 5 long arm
Milroy’s
2 to chromosome 16 long arm
Praecox
Innervation of heart
C3-T4
Other name of Internal Common Iliac Artery
Hypogastric artery
Largest pacemaker?
Purkinje fibers
Primary pacemaker?
SA Node
MC coronary artery occluded?
L Coronary artery
ANGINA
Referred pain - followed the distribution of what nerve?
Ulnar nerve
CABG
Reroute vessels:
Great saphenous vein
Internal mammary artery
Internal thoracic artery
Radial artery
Largest vein in the body?
IVC
Average pressure of peripheral pulse?
Average pressure of the large artery in the body?
PULSE PRESSURE
MAP
Increase ESV?
CHF
Amount of blood pumped by the ventricles per contraction
STROKE VOLUME
Amount of blood pumped by the ventricles per minute
CARDIAC OUTPUT
The framework of the peripheral vascular system
Blood vessel
Layers of Tunica Intima
Mnemonics?
EBC
Endothelium
Basement membrane
Connective tissue
The only layer present in all blood vessels
Endothelium
SVT MC affected vein
Greater saphenous vein
DVT MC affected veins (Mnemonics?)
FIP
Femoral
Iliac
Popliteal vein
Provides images of lymphatic system
Lymphscintigraphy
Tx for Lymphedema?
How much mmHg?
Compression stockings
30-40mmHg
Types of Primary Lymphedema
Milroy’s
Lymphedema Praecox
Lymphedema Tarda
Rarest type of Primary Lymphedema
Lymphedema Tarda
MC etiology of secondary lymphedema
Surgery & radiation
Location for the ulceration in arterial insufficiency
Lateral malleolus
Dorsum of feet & toes
Anterior
Location for the ulceration in venous insufficiency
Medial malleolus
Medial leg & thigh
AI or VI
Edges: well defined
AI
AI or VI
Edges: ROUGH
VI
AI or VI
Depth:
Shallow?
Deep?
VI
AI
Dusky red on dependency
AI
TROPHIC CHANGES in:
AI?
VI?
Dry, shiny skin, abN nail growth
Dermatitis, varicosities
LE PRESSURE DOPPLER ULTRASOUND
Pulse?
Cuff?
Dorsalis pedis/Post tibial pulse
Calf
Formula of DOPPLER ULTRASOUND
LE/UE
RECITE THE ABI TABLE
Ranges to Indications?
…
ABI RANGE?
Falsely elevated, DM
> 1.20
ABI RANGE?
Normal
1.19-0.95
ABI RANGE?
Mild arterial disease + intermittent claudication
0.94-0.75
ABI RANGE?
Mod arterial disease + rest pain
0.74-0.50
ABI RANGE?
Severe arterial disease
Less than 0.50
ABI POSSIBLE INDICATION?
>1.20
Falsely elevated, DM
ABI POSSIBLE INDICATION?
1.19-0.95
Normal
ABI POSSIBLE INDICATION?
0.74-0.50
Mod arterial disease + rest pain
ABI POSSIBLE INDICATION?
Less than 0.50
Severe arterial disease
ABI POSSIBLE INDICATION?
0.94-0.75
Mild arterial disease + intermittent claudication