Cardiovascular pathologies Flashcards
Neural pathway of the heart (4)
- SA node
- AV node
- bundle of HIS
- purkinje fibers
first heart sound. ventricular systole (lubb)
S1
second heart sound. ventricular diastole (dubb)
S2
abnormal heart sound after age of 40
S3
S4 is heard after…
S1
normal heartbeat
sinus rhythm
pulse that is measured directly over the heart
apical pulse
cardiac output CO =
stroke volume SV x heart rate HR
normal blood pressure
120/80 mm Hg
abnormal contraction of the atria causing arrhythmia. Ineffective pumping of blood
atrial fibrillation
pulmonary problem causing blue lips, tongue, ears, mucous membranes
central cyanosis
cardiac problem causing blue fingers, nails, toes, and nose
peripheral cyanosis
S/S of cardiac disease (3)
- fatigue
- pain
- edema
measure of how much blood is pumped out by the L ventricle with each contraction
reduced ejection fraction
leads to loss of mm contraction of the heart
ventricular fibrillation
invasive cardiac test
angiography
noninvasive cardiac test
echocardiography
chest pain caused by ischemia to myocardium
angina pectoris
angina pectoris s/s (3)
- sharp pain
- sudden onset
- overexertion
angina pectoris PT intervention (2)
- rest
2. vasodilator
plaque buildup in the aorta. found mostly in older males
aortic atherosclerosis
aortic atherosclerosis s/s
none “silent disease”
aneurysm
aortic atherosclerosis PT intervention
none. contraindication: heavy lifting
hardening of arteries due to fatty cholesterol plagues
atherosclerosis
atherosclerosis PT intervention
be aware of clot formation
hardening of the walls of arterioles due to fatty cholesterol plagues
arteriosclerosis
sudden stopping of the heart
Cardiac arrest/ MI
MI s/s (3)
- dyspnea
- angina
- L arm pain
MI PT intervention (2)
- CPR
2. cardiac rehab
group of diseases where heart mm is not getting enough blood. Leads to myocardium hypertrophy
cardiomyopathy
cardiomyopathy s/s (3)
- dyspnea
- cough
- ascites (ab edema)
cardiomyopathy PT intervention
assist when deconditioning occurs
heart is not able to pump enough blood to meet the body’s needs due to R ventricular failure
R sided congestive heart failure CHF
R sided CHF s/s (3)
- ascites
- headache
- distended neck veins
R sided CHF PT intervention
strength, endurance, gait re-ed
heart is not able to pump enough blood to meet body’s needs due to L ventricular failure
L sided CHF
L sided CHF s/s (3)
- dyspnea
- cough
- cyanosis (c and p)
bacterial infection of the lining of the heart and valves
Endocarditis
Endocarditis s/s
fever and weakness
inflammation of the myocardium from viruses or parasites
myocarditis
myocarditis s/s (3)
- fever
- jt pain
- LE edema
High blood pressure resulting from genetics, diet, stress, or lifestyle
hypertension
hypertension BP
140/90 mmHg
hypertension PT intervention
Check BP before, during and after tx
heart is deprived of blood supply and heart mm dies of anoxia
ischemic heart disease (coronary artery disease)
ischemic heart disease s/s (3)
- SOB (shortness of breath)
- sweating
- L shoulder pain
ischemic heart disease PT intervention
cardiac rehab
a result of endocarditis that creates an increased workload for the heart and can lead to heart failure.
valve disease
2 s/s of valve disease
- dyspnea
2. fatigue
valve disease PT interventions (2)
- mild exercise
2. stop exercise w/ coughing, fatigue, weakness
inflammation of the arteries w/ an unknown cause
arteritis
atherosclerosis in the arteries of the brain. major cause of stroke
cerebrovascular disease CVD
inflammation w/ nodule formation of small and medium size arteries. no known cause
Polyarteritis nodosa
PVD where pt is acutely sensitive to cold
Raynaud’s disease
inflammation w/ thrombosis that affects vessels of hands and feet
Thromboangiitis obliterans (Buerger’s disease)
atherosclerosis of the peripheral arteries
peripheral vascular disease PVD
inflammation and clotting of veins
deep vein thrombosis
valves of veins do not work well and cause distention. precursor to thrombus formation
varicose veins
reduction of O2 transport that is detected by hemoglobin and hematocrit levels
anemia
Phase I cardiac rehab time period and focus
3-5 days
ADLs
Phase II cardiac rehab time frame and focus
6 weeks
Functional activities w/ vitals monitored
education
Phase III cardiac rehab time frame and focus
6 weeks
More intense functional activities w/ less monitoring
education
Phase IV cardiac rehab time frame and focus
1 year
maintaining fuction