Cardiopathology I Flashcards

1
Q

label

A
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2
Q

R side of heart is ___ blood and L side is ___ blood

A

R - deoxygenated
L - oxygenated

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3
Q

what’s the ratio of R:L side ventricular wall thickness

A

1:3
*since L side pumps to entire body

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4
Q

list the main components of electrical pathway of heart

A
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5
Q

heart disease cannot be ___, must be ___

A

not cured, must be managed

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6
Q

list the main clinical signs of heart disease

A

c, exercise intolerance, murmur, arrhythmia, fluid buildup, cyanosis

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7
Q

define murmur

A

blood turbulence

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8
Q

define arrhythmia

A

irregular heartbeat

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9
Q

list the types of heart failure

A
  1. sudden/acute vs chronic
  2. R vs L side failure
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10
Q

heart failure has blood accumulation where?

A

accumulation behind the failing chamber

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11
Q

describe acute heart failure

A

sudden/severe pump and flow failure
syncope (unconscious), collapse
*cardiogenic shock
NOT enough time for compensatory changes to occur

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12
Q

describe chronic heart failure. list the compensatory changes

A

less severe pump and flow failures
compensation - chamber dilation, hypertrophy, increased HR, increased peripheral R, increased blood volume, redistribution of blood

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13
Q

eccentric vs concentric hypertrophy

A

eccentric - expands (thinning), VOLUME overload
concentric - thickening, PRESSURE overload

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14
Q

complete the chart

A
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15
Q

define R sided HF

A

congestion of systemic circulation
increased hydrostatic pressure - ventral SQ edema, pleural/peritoneal effusion

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16
Q

what type of heart failure causes this?

A

R sided

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17
Q

define L sided HF

A

congestion of pulmonary circulation
pulmonary edema, hemosiderosis

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18
Q

what type of HF is this?

A

L sided

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19
Q

Liz Brain

A
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20
Q

describe some systemic changes linked to HF (kidney)

A

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

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21
Q

describe some systemic changes linked to HF (bone marrow)

A

hypoxia > erythropoiesis > polycythemia (inc carrying capacity) > increase BP > increase workload of heart

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22
Q

which area of the heart is affected FIRST due to decreased perfusion?

A

papillary muscles of L ventricle and subendocardial areas

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23
Q

describe the histologic presentation of myocardial cell injury, necrosis, and scaring

A
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24
Q

what are the 6 main mechanisms of heart failure?

A
  1. ruptures - hemorrhage, tamponade
  2. obstructed flow through heart - increases volume and P behind obstruction
  3. regurgitant flow - increases volume behind failing valve
  4. blood shunts - congenital mainly
  5. conduction disturbance (arrhythmia) - poor contraction
  6. pump failure - weak contraction, incomplete emptying/filling
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25
Q

describe endocardial (AV) cushion defect

A

congenital issue
two thicker areas in cardiac tube from which heart chambers/valves form - does NOT properly close, can cause open communication between all chambers

26
Q

ID the pathology

A

L - normal
R - endocardial cushion defect

27
Q

in shunts, the larger the defect, the ___ severe clinical signs

A

more severe

28
Q

in shunts, the smaller the defect, the ___ the murmur

A

louder

29
Q

shunts cause what type of hypertrophy?

A

eccentric

30
Q

define atrial septal defect (ASD) and patent foramen ovale (PFO)

A

incomplete closure of atrial septum

31
Q

define ventricular septal defect (VSD)

A

incomplete closure of ventricular septum

32
Q

define patent ductus arteriosus (PDA)

A

failure of closure of ductus arteriosus between aorta and pulmonary artery
*normally becomes ligamentum arteriosum

33
Q

ID the shunt

A

atrial septal defect (ASD)
patent foramen ovale (PFO)

34
Q

ID the shunt

A

ventricular septal defect (VSD)

35
Q

ID the shunt

A

patent ductus arteriosus (PDA)

36
Q

shunts are a ___ overload with an initial __ to __ shunting of blood

A

volume
L to R shunting - since L side is typically high P to begin with (can switch to R to L)

37
Q

ID the shunt

A

atrial septal defect (ASD)
patent foramen ovale (PFO)

38
Q

ID shunt

A

ventricular septal defect (VSD)
MOST OMMON DEFECT

39
Q

ID shunt

A

patent ductus arteriosus
*continuous murmur
small/toy breeds

40
Q

list the two main types of valvular defect

A

stenosis - narrowing valves
malformation/dysplasia

41
Q

list the two types of stenosis

A

pulmonic stenosis
aortic stenosis

42
Q

stenosis is a ___ overload

A

pressure

43
Q

stenosis will have hyper___ of the ___ that comes right before/after it

A

hypertrophy
ventricle before it

44
Q

ID the pathology
which ventricle will be affected?

A

pulmonary stenosis
R ventricle hypertrophy - R side HF, cause hepatic congestion

45
Q

ID the pathology
which ventricle will be affected?

A

aortic stenosis
L ventricle hypertrophy - L side HF

46
Q

ID pathology

A

pulmonic stenosis

47
Q

ID pathology

A

aortic stenosis

48
Q

list breeds that most commonly get pulmonic vs aortic stenosis

A

pulmonic - bulldog, boxer, terrier
aortic - large breeds, pigs

49
Q

ID pathology

A

tricuspid and mitral valve malformation/dysplasia

50
Q

tricuspid and mitral valve malformation/dysplasia is ___ insufficiency and ___ overload

A

valvular insufficiency
volume overload

51
Q

tricuspid and mitral valve malformation/dysplasia is hyper___ of the ___ that comes right after/before it

A

hypertrophy - eccentric
ventricle right after it

*dilation of atrium before it

52
Q

describe the tetralogy of fallot

A

FOUR abnormalities that causes insufficient amounts of blood pumped to body
1. ventricular septal defect
2. pulmonic stenosis
3. overriding aorta
4. R ventricle hypertrophy

53
Q

ventricular septal defect (VSD) is a __ to __ shunt due to ___ stenosis, causing ___ ventricular hyper___. this causes ___

A

R to L shunt
pulmonic stenosis
R ventricle hypertrophy
cyanosis

54
Q

ID pathology

A

ventricle septal defect (VSD)

55
Q

describe vascular ring anomaly

A

persistent R aortic arch (should normally be on L side) with ligamentum arteriosum on L > compresses esophagus > cranial megaesophagus

56
Q

ID pathology

A

vascular ring anomaly

57
Q

what pathology causes regurgitation, aspiration pneumonia, and poor weight gain?

A

vascular ring anomaly

58
Q

define ectopia cordis

A

heart located anywhere BUT in the chest
*most common in calves

59
Q

ID pathology

A

ectopia cordis

60
Q

Liz Brain

A