Cardiopathology I Flashcards
label
R side of heart is ___ blood and L side is ___ blood
R - deoxygenated
L - oxygenated
what’s the ratio of R:L side ventricular wall thickness
1:3
*since L side pumps to entire body
list the main components of electrical pathway of heart
heart disease cannot be ___, must be ___
not cured, must be managed
list the main clinical signs of heart disease
c, exercise intolerance, murmur, arrhythmia, fluid buildup, cyanosis
define murmur
blood turbulence
define arrhythmia
irregular heartbeat
list the types of heart failure
- sudden/acute vs chronic
- R vs L side failure
heart failure has blood accumulation where?
accumulation behind the failing chamber
describe acute heart failure
sudden/severe pump and flow failure
syncope (unconscious), collapse
*cardiogenic shock
NOT enough time for compensatory changes to occur
describe chronic heart failure. list the compensatory changes
less severe pump and flow failures
compensation - chamber dilation, hypertrophy, increased HR, increased peripheral R, increased blood volume, redistribution of blood
eccentric vs concentric hypertrophy
eccentric - expands (thinning), VOLUME overload
concentric - thickening, PRESSURE overload
complete the chart
define R sided HF
congestion of systemic circulation
increased hydrostatic pressure - ventral SQ edema, pleural/peritoneal effusion
what type of heart failure causes this?
R sided
define L sided HF
congestion of pulmonary circulation
pulmonary edema, hemosiderosis
what type of HF is this?
L sided
Liz Brain
describe some systemic changes linked to HF (kidney)
decreased renal blood flow > RAAS activation > water retention, increase BP
**compensating for heart unable to work properly, WHILE ALSO making it so heart has to work more (increase CO via water retention), causing further decompensation
describe some systemic changes linked to HF (bone marrow)
hypoxia > erythropoiesis > polycythemia (inc carrying capacity) > increase BP > increase workload of heart
which area of the heart is affected FIRST due to decreased perfusion?
papillary muscles of L ventricle and subendocardial areas
describe the histologic presentation of myocardial cell injury, necrosis, and scaring
what are the 6 main mechanisms of heart failure?
- ruptures - hemorrhage, tamponade
- obstructed flow through heart - increases volume and P behind obstruction
- regurgitant flow - increases volume behind failing valve
- blood shunts - congenital mainly
- conduction disturbance (arrhythmia) - poor contraction
- pump failure - weak contraction, incomplete emptying/filling