Cardiology Flashcards
Aneurysm
localized enlargement of an artery; can result in a stroke if it ruptures in the brain; no symptoms; like a balloon; caused by atherosclerosis and hypertension; the stroke can cause hemiplegia or immediate death; if ruptures in the heart you will bleed out in seconds; common
Angina
1) severe chest pain due to ischemia of the myocardium, usu happens during exertion; pain will resolve after they stop whatever they are doing; warning sign of a heart attack (MI)
`Pulmonary Edema
excessive fluid in the lungs
Congestive Heart Failure (CHF)
4) end stage heart disease where the ventricles are so damaged (caused by a big MI or multiple small MI’s) they can no longer pump blood effectively; left-sided blood backs up results in pulmonary edema; common; can happen over time of suddenly; (TX: transplant)
Coronary Artery Disease (CAD)
2a) plaquing that occurs inside the coronary arteries; happens everywhere (blood pressure)
`Coronary Arteries
branches of the aorta that feed oxygen to the heart; there are only 2 coronary arteries to feed the heart oxygen
Atherosclerosis
2b) fat plaque (atheroma) that adheres to and hardens arteries causes arteriostenosis; what CAD is; plaque embeds into your artery walls like a scab; can’t be cleaned b/c of the delicate artery
`Arteriostenosis
artery narrowing
`Atheroma
fat plaque made of cholesterol
Arrhythmia
absence or lack of rhythm in heart beat; can result in fibrillation; unrhythmic twitching of the body (Kylee Shea)
Fibrillation
when the heart shakes and it’s not pumping blood
Myocardial Infarction (MI)
3) heart attack - full blockage of a coronary artery which results in death of myocardium; 10 mins max w/o oxygen; ina regular artery or coronary artery; plaque; myocardium doesn’t regenerate when dead; distale right side myocardium is the best prognosis; worst prognosis- proximal left sided (widow maker) VENTRICLES (the proximal plaque is soften which can cause it to chip & clog itself to block blood flow )
CAD Medication
blood thinner; issues w/ a CABG or heart transplant; but a balloon angioplasty w/ stent is fine
Cholesterol
made in the liver; made to repair blood vessels; tested by a blood chemistry test; high cholesterol has no symptoms; normal- 200; **directly indicates how much CAD you have
2 types:
LDL- bad; fixes the artery; overproduction is caused by bad diet and proteins; higher #’s; causes inflammation
HDL- good; grabs the LDL; oats, some rices; not enough HDL; lower #’s;
Angiogram/Angiography
2a) used to locate blockage of artery; squirts dye in the coronary arteries; uses help from a fluoroscopy; used to see where the arteries done profuse; helps w/ cardiac catheterization
Fluoroscopy
a live x-ray
Cardiac Catheterization
2b) tube that is run up form the groin into coronary arteries
Stress Test
1) a test to check for blockages of coronary artery system; angina; EKG; treadmill
Pacemaker
internal defibrillator that regulates heart rate; tx for an arrhythmia & V-fib; can act as a defibrillator; on the left side leads into the S & I vena cava
Coronary Artery Bypass Graft (CABG)
4) bypassing the blocked artery w/ another artery (usu in the thigh) taken from the patient from somewhere else; least preferred; opens up rib cage; sew to the aorta then a distal part; high-risk; hemolytic anemia; cardio-thoracic surgeon
Heart Transplant
treatment for CHF
Balloon Angioplasty w/ Stent
3) uses a balloon to open up clogged artery; wall the catherization is in; leaves minimally invasive; super successful; can be done within 5 mins; uses fluoroscopy; interventional cardiologists
What two pairs of valves close in sync?
Tricuspid valve & Bicuspid valve
Pulmonary valve & Aortic valve
Capillary
allows oxygen into the bloodstream; small & fragile
Pulmonary Circulation
circulation from right side of the heart to the lungs and back; exchanges Co2 for O2 in lungs (one molecule); special blood arteries (so small on only hold one blood cell); arteries -> arterioles -> capillary