Cardiovascular Flashcards

1
Q

Hypotension causes baroreceptor _____. Detail the physiology of this process

A

activation
leads to increased SNS activity –> + adrenal medulla secretion of catecholamines –> cardiac stimulation –> increased HR + increased contractility –> increased blood pressure

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2
Q

When does someone develop the non-progressive stage of shock?

A

when the RAAS system + baroreceptor activation are insufficient to raise BP

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3
Q

What are the ECG changes associated w/ transmural ischemia?

A

ST elevation
when the full thickness of the heart wall is damaged

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4
Q

What are the ECG changes associated w/ subendocardial ischemia?

A

ST depression
T wave inversion
when the zone of necrosis is limited

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5
Q

What are the cellular changes which occurs 3-4 days after an MI?

A

infiltration of neutrophils in the interstitial space

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6
Q

What are the cellular changes which occurs 7-10 days after an MI?

A

almost finished removal of necrotic fibres by neutrophils/macrophages (a lot of dark spots)
presence of fibrous tissue

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7
Q

What are the cellular changes which occurs 3 weeks after an MI?

A

Early collagen deposition (reminder, stains blue)
less dark stained spots

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8
Q

What are the cellular changes which occurs 7 weeks after an MI?

A

increased collagen deposition
decreased cellularity
a lot of fibrosis + scarring

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9
Q

Acute bacterial endocarditis is caused by ____ in which population?

A

staph aureus
IV drug users

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10
Q

Subacute bacterial endocarditis is caused by ____ in which patient population?

A

strep viridans (oral) or strep epidermidis
recent oral surgery patients or post prosthetic valve insertion

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11
Q

What cardiac defect is most associated with Turner syndrome?

A

bicuspid aortic valve

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12
Q

What is pulsus paridoxus?

A

decreased systolic blood pressure > 10 mmHg upon inspiration

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