Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Cardio > Cardiomiopatii > Flashcards

Cardiomiopatii Flashcards

1
Q

Cmp specifice

A 
Valvular
Hipertensiv
Ischemic
Toxic
Metabolic(K, Ca)
Inflamatoriu
Distrofii musculare
Peripartum
Boli de sistem(colagenoze, sarcoidoza)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Cmd histologic

A

Fibroza interstitiala si perivasculara

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Etiologie cmd

A 
25% cei cu IC
50% idiopatic
Toxic
Ac antimiocard prin trigger viral
Post miocardita!!!!!! 
Citokine proinflamatorii(tnf alfa) endotelina
Genetic
Alcool doxorubicina(chimioterapic) cocaina hiv
Tahicardie
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Tratament cmd

A

De insuf cardiaca
Pacemaker biventricular
Chirurgical
Exercitii fizice

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Histologic miocardite

A

Infiltrat inflamator precedat de citoliza

Miocitoliza detectabila 7-10 zile

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Etiologie miocardite

A 
Viral coxaki
Bacterii fungi tripanosoma
Doxorubicina si alergia cu eozinofile
Les tireotoxivoza polimiozita sarcoidoza
Etanol catecolamine iradiere
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Markeri apoptoza miocardita

A

Proteaze
Caspaze
Citokine
(Raman crescute 80 de zile)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Clinic cmd

A 
Ic stanga+-dreapta
Zg 3, 4, regurgitare mitrala(secundara)
Cardiomegalie
Angina!!!!!!prin scaderea rezervei coronariene(vd scazut)
Ta normala sau scazuta
Embolii
Prin fibroza aritmii si sincope
Presiune puls scazut, ta normala, vb scazut
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Clinic miocardita

A 
Asimtomatici
Embolii
Aritmii
Bloc 
Durere care mimeaza ima
Ic
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Hisyologie cmh

A

Hipertrofie si dezorganizare fibre se poerde paralelismul si avem miocite inegale
Arterele cu lumen redus si hipertrofie a mediei=>reducere rezerva coronariana

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Etiologie cmh

A

Autozomal dominant(cea mai frecventa)
Lant greu beta al miozinei
Proteina c de legare a miozinei
Troponina T

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Fiziopat cmh

A

Sistolic anterior movement care scade tractul de ejectie
Valva mitrala are foite lungi si e impinsa de flux
Grafient subaortic
Scade rrlaxatea si distensibilitayea prin alteratea proteinelor
Apare ischemie prin scadere coronare si consum de o 2 credvut

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Examen clinic cmh

A 
Sincopa
Asimpyomatic moarte subita
DISPNEE
Impuls apocal crescut
Puls carptidian bifid
Zgomot 4????
Suflu sistolic asemanator cu st aortica dar fara iradiere
Suflu sistolic apical
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Tratament cmh

A 
Betablocante
Antagonisti calciu
Disopiramida
Amiodarona
Anticoagulante
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Tratament miocardite

A

Nu stii ce sa i dai ca sa nu l iriti
Iec betabloc diuretic
NU digoxun NUinferferon NU imunosupresie
Vaccin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Definitie cardiomiopatii

A

Afectare directa miocard

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Cmd dilatativ

A

Dioatatie si disfuntie sistolica
25% trec spontan
Frecv la barbati negri
DACA VD E AFECTAT ATUNCI PROHNOSTICUL E REZERVAT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Cauze cmd

A

Ic
Cardiopatia tahiaritmica
Genetic, post miocardita, toxic(coxakieb, covid) autoimun anticorpi anti miocard, citokine proinflamatorii, endotelina

Alcool(inhiba fosforilarea ocidativa), cocaina, hiv, doxorubicina, metabolic, citostatice

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Clinic cmd

A 
Ic stanga 
Angina prin scaderea rezervei coronariene
Z3,4, suflu  de REGURGITARE MITRALA
Ta normala sau scazuta
Embolie tardiv
CARDIOMEGALIE IC>0,5
PRIN FIBRIZA APAR ARITMII
Initial e asimptomatic(frank starling si catecolamine activate)
20
Q

Rx cmd

A

Cord mare

Redistributie ptc pres venoasa e crescuta si se deschid vasele apicale

21
Q

Ekg cmd

A

Unde q de fibroza
Brs
Midif repolarizare
Tv

22
Q

Eco cmd

A 
Fe scazuta
Cavitati mari
Rm
Rt
Eco cu dobutamina(deschide vadele si vdm daca e hibernant sau e mort) dg dif bci
23
Q

Coronarografie cmd

A

Normale

Vasodil redusa

24
Q

Tratament cmd

A 
Al ic(grn cu fredusa)
Diuretic
Ieca
Betabloc
Spironolactona+-digoxin

Sport(in ideea ca e vasodilatatie pe vasele membrelor deci scade postsarcina si ii e mai usor)
Resincronizare
Chirurgie

25
Q

Miocardite def

A

Inflamatia miocardului
20%msc sunt date de ea
In faza acuta aritmii si mor

26
Q

Miocardite histologic si timp

A

Miocitoliza si dupa infiltrare

0-4 miocitoliza si macrofage
4-14 infiltrare cel nk, t,b
Progresie=> cmd

27
Q

2 variante de progresie miocardita

A

Efect direct agresiune virala
Raspuns imun persistent ptc seama virusul cu miozina-coxsackie

(Persista particulele virale+sistem imun inactivat
Sau
Raspuns imun persistent+-persistenta virala)

Apoptoza: proteaze viral mediate, calea caspazei, citikine>80z

28
Q

Miocardite clinic

A 
Asimptomatic+ekg
Ic+dilatare
Aritmii, blocuri
Durere mimeaza ima
Embolii(citokinele au efect procoagulant)
29
Q

Etiologie miocardite

A 
Coxakie trypanodoma
Alcool doxorubicina
Bacterii fungi
Lupus tireotoxicoza sarcoidoza
Catecolamine iradiere
30
Q

Paraclinic miocardite

A

Rx cord normal, mare si posibil redustributie

Leucocitoza,vsh, ckmb, troponuna, anticorpi(sarvolema, mitocondrii), citokine(tnf, il6)

Eco peretii vs sunt ingrosati ptc edem, disfuncie vs

Rmn duper bun!!!!!!contrast tardiv subepicardic!!!!!
(Ca ischemia e subendo iar miocardita r subepi)

Biopsie-criterii dallas, genom viral, imunohistochimie

Ekg modif st nespecibife, bav1-3

31
Q

Cardiopatii def

A

Afectare directa a miocardului

32
Q

Test de stres cu dobutamina

A

La cmd si la sao low flow low gradient
Ma gandesc ca poate are bci prim care s a dilatat
Ideea e ca acolo e miocard hibernant la bci si gen daca i vadodilat atunci o sa mi dau seama daca brusc ii creste contractia(asa mi dau seama ca nu i cocatrice ci e cord viabil si merita i coronarigrafie)

33
Q

Prognosticul in miocardita fulminanta

A

F prost initial si f bun oe termen lung
Fulminanat e aia cu edem, disfuntie grava vs

Ii pui device de asistare si astepti sa se vindece

34
Q

Cmh

A

Hipertrofie neadecvat, fara motiv(in general motivul de stenoza aortica sau hta)
Afecteaza septul
Cu fct sistolica hiperdinamica
Gradient de presiune dinamic-se inchide asa ca intr o stenoza(subvalvulara gen)
DISF DIASTOLICA

Da mcs

35
Q

Etiologie cmh

A

Lant beta miozina
Troponina t
Proteina c de legate a miozinei

36
Q

Forme clinice

A

Adolescent
Adulc
Faza finala cmpd
Forma atipica japonia cu unde t negative gigante in deriv precordiale (asemanator cu obstr pe desc anterioara)

37
Q

Sdr wellance

A

Obstructie pe descendenta anterioara
Prognostic f prost
T negative din v1-v6

38
Q

Cmh fiziopat

A

Ischemie: afectare intramurale si cons ox crescut

Diastola: relaxare lenta si distensibilitate scazuta

Sistola
Tractul de ejectie e ingustat e un fel de stenoza subaortica, fluxul se accelereaza, fenomen venturi=>valva mitrala, pe masura ce sistola se desfasoara o atrage din ce in ce mai mult=>tractul dr ej app total obstr la finalul ejectie.
Sam=sistolic anterior movement(are si niste foite mai lungi)
Gradient subaortic
Impingere flux

39
Q

Clinic cmh

A

Asimpt care face mcs
Dispnee(disf diastolica)
Angina pectorala
Sincopa(progn prost la tineri)-aritmii sau scade debitu

40
Q

exam obiectiv cmh

A

Impuls apical crescut

Puls carotidian bifid

Zg4

Suflu sistolic parasternal stang NU iradiaza pe carotide(creste la valsalva su ortostatism) (scade la ridicare mb inf, contractie izometrica mana)

Suflu sistolic apical(reg mitr)

41
Q

Paraclinic cmh

A

Ekg
Rx
Eco
Rmn-si aici e f bun ca deosebeste de amiloidoza
Cate(contractilitate-daca o cresc creste cmgradientul, presarcina scazuta acc gradientul ptc e cordul mai gol deci iar se ingusteaza, postsarcina scazuta gradient scade ptc se contracta mai bn)

42
Q

Stratificare risc

E de la cmh dar oresuoun ca e pt mcs

A

Clinic
Eco
Holter
Test de efort

43
Q

Cardiomiopatia restrictiva

Disf diastolica

A

Primar idiopatic sau fibroza

Secundara alimoidoza sarcoidoza hemocromatoza metastaze glicogenoze

Histo: fibroza/infiltrare

Compl redusa=> umplere la presiuni mari=> avem simptome legate de pres mare din circ sistemica si circ pulmonara(gen presiunile in inima sunt f mari si inteleg ca atunci cand intra in inima dep efort, in rest debitul e mic)
Cavitati reduse ca s ingrosati peretii, la fel si vol bataie

44
Q

Clinic cardiop restrictiva

A

Debit mic astenie fatigabilitate hipotens

Congestie efeme hepatomegalie ascita vene jug turb

Impuls apical palpabil(conteaxa ptc are multe chestii la ekg similare cu pericardita cred ca constructiva)

Z3 z4

45
Q

Paraclinic restrrictiva

A

Ekg st, t MICROVOLTAJ

eco norma sau hvs, disf diastolica-aia restrictiva grava

Cateterism SEMN RADICAL, DIP AND PLATEAU

Ct rmn dg dif pericardita constructiva

Biopsie endomiocardita

46
Q

Cateterism dip amd plateau sau radical

A

Umplere initial f rapida si dupa aia se opreste brusc, creste rpd pres si se egaleaza cu aia din atriu sindupa un mic damn cand se contracata atriul

E pt pericardita constrictiva si pt cardiomiopatia restrictiva

47
Q

Arvd

A

Vd
Afectarea jonctiunii intercelulare
Boala naxus
Infiltrare grasime

Ic, asimpt, aritmii, msc

Simptome sincopa palpitatii oprire cardiaca, ca la miocardita, ic sau daca e afectat si vs mimeaza cmd

Cardio (25 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions