Cardiovascular Pathology Flashcards

1
Q

What is the normal weight of a male and female heart

A

280-340 g - male

230-280 g - female

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2
Q

What cells act as a pacemaker

A

ALL can!

Predominantly SA cells

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3
Q

What is cardiac failure

A

Failure to transport blood out of the heart

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4
Q

What is cardiogenic shock

A

Inadequate blood flow due to dysfunction of the ventricles

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5
Q

What is a sign of cariogenic shock

A

Low urine production

Cool arms and legs

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6
Q

What happens to cardiac volume as venous return increases

A

It increases

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7
Q

How does exceeding the stretch capability of the sarcomeres effect cardiac contraction force

A

Diminishes

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8
Q

What compounds stimulate myocyte hypertrophy

A

Angiotensin 2
ET-1
IGF-1
TGF- Beta

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9
Q

What do these activate:

Angiotensin 2
ET-1
IGF-1
TGF- Beta

A

Mitogen-activated Protein kinase

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10
Q

Is a loss of cardiac myocytes during life expected

A

Some is expected

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11
Q

Why does left-sided heart failure occur

A
  1. Failure causes blood to move back up into the lungs
  2. Causes fatigue do to inadequate supply of blood
  3. Overload on the right side of the heart
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12
Q

Effect of right-sided heart failure

A

Venous hypertension and congestion

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13
Q

Result of diastolic cardiac failure

A

Stiffer heart

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14
Q

For how long does the heart only consist of a single chamber during embryogenesis

A

Until 5th week gestation

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15
Q

What three single-gene associated diseases can increase the risk of congenital heart complications

A

Trisomy 21
Turner Syndrome
Di-george Syndrome

Diabetes (not single gene)

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16
Q

What is VSD

A

Ventricular Septal Defect (hol in the septum)

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17
Q

When can VSD, ASD, PDA and hypo plastic left heart syndrome develop in embryogenesis

A

During initial left -> right shunt

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18
Q

What is tetralogy of Fallot

A

Hypertrophy of RV
Overriding Aorta
Pulmonic stenosis
Ventricular septum defect

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19
Q

When is tetralogy of Fallot and tricuspid atresia seen

A

Right -> left shunt

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20
Q

What is conditions can occur when shunting stops

A
  1. Pulmonary stenosis
  2. Aortic stenosis
  3. Coarction (narrowing of part of the aortic arch)
21
Q

How does Eisenmenger’s complex develop

A

Initial left -> right shunting is okay but right -> left is associated with right side cardiac failure and right side cardiac hypertrophy

22
Q

What is patent foramen Ovale

A

A hole between the atrias

23
Q

What is dangerous about patent foramen oval

A

DVT -> CNS infarction

Eventually causes arrhythmias, pulmonary hypertension and RV hypertrophy

24
Q

What is the risk of patent ductus arterioles

A

Lung circulation is overloaded with pulmonary hypertension and right-side cardiac failure

due to left -> right shunting

25
Q

How is PDA treated

A

By catheters or Indomethacin (prostaglandin inhibitor)

26
Q

How is tetralogy of diagnosed

A

Radiology and Macroscopically

27
Q

Symptom of tetralogy of fallot

A

Pulmonary stenosis causes RV blood to be shunted into left = cyanosis since birth

28
Q

Risk of tetralogy of ballot

A

Cerebral thrombosis and cardiac debility

29
Q

What is TGA

A

Transposition of the great arteries

Aorta coming off the RV and pulmonary trunk off the LV

30
Q

Who does TGA commonly effect

A

Males

Mother’s who have diabetes

31
Q

How is it possible to survive TGA

A

If there is a communication between the circuits and virtually all have an atrial septal defect allowing blood mixing

32
Q

What is coarctation of aorta

A

Stenosis of the ductus arterioles extends into the aortic wall

Aorta narrows just after the arch

33
Q

Where is blood mainly diverted to in coarctation of aorta

A

Excessive blood flow being diverted through the carotid and subclavian vessels into the systemic vascular shunts to supply the rest oath body

34
Q

What diseases is the coarctation of the aorta associated with

A

Turner’s Syndrome and Berry Aneurisms

35
Q

How is Coarctation of aorta treated

A

Ablation of stenosed segment

36
Q

What is Endocardial Fibroelastosis

A

Stenosis and coarctation resulting in dense collagen and elastic tissues deposited on the endocardium on the LV

37
Q

What is Dextrocardia

A

Normal anatomy of the heart is versed with right orientation of access

38
Q

Problem with repercussion of an ischameic myocardium

A

Can lead to haemorrhage and generation of superoxide radicals

39
Q

What can ischaemic myocardial damage lead to

A
  1. Arrythmias

2. Cariogenic shock

40
Q

What is an aneurysm

A

Dilation of part of the myocardial wall

41
Q

What is associated with an aneurysm

A
  1. Fatty tissue replacement, fibrosis and atrophy of myocytes
42
Q

When does pericarditis take place

A

Following infarction (2-10 weeks)

43
Q

How do we solve pericarditis

A
  1. Thrombolytic enzymes
  2. PTCA
  3. CBGA
  4. Stents
44
Q

What classifies hypertension

A

Anything greater than 140/90 mm Hg

45
Q

What is the physiological response to hypertension

A

Compensatory hypertrophy of the heart initially with increased myocyte size, squaring of the nuclei and slight increase in interstitial fibrous tissue

Initially can handle increased workload but compensation stops

46
Q

What is Cor Pulmonate

A

Right ventricular hypertrophy and dilatation due to pulmonary hypertension

47
Q

Features of cor Pulmonate

A

Right ventricular hypertrophy

Right Side cardiac failure with venous overload

Peripheral oedema and hepatic congestion

48
Q

What usually causes acute rheumatic fever

A

Group A Beta-haemolytic streptococcus infection