Ch. 4 Cardiovascular System Flashcards
What subsystem of the circulatory system is responsible for the exchange of blood gases?
Pulmonary
Of the four cardiac chambers, which one lies midline with the cardiac shadow and is also located anteriorly?
Right ventricle
Which is the thickest layer of heart tissue?
Myocardium
Which chamber of the heart is generally the largest?
Left ventricle
Which chamber of the heart houses the SA node, responsible for the electrical conductivity?
Right atrium
What portion of the electrocardiogram (ECG) represents the ventricular depolarization?
QRS complex
Why is it important to perform chest radiography in the upright position?
Prevents magnification of the heart
What geometric factor(s) may affect the radiographic appearance on the PA chest?
SID, OID, anode heel
Cardiomegaly can be diagnosed on the PA chest radiography when the cardiac shadow is _____________ of the transverse diameter of the thorax.
More than half
What type of echocardiography permits real time imaging of the heart?
2D
What pathological conditions can be diagnosed with Doppler sonography?
DVT, carotid stenosis, venous thrombosis
The widely performed myocardial perfusion scans are used to evaluate:
Coronary artery stenosis, follow up for surgery and ischemia
What procedure in nuclear cardiology is used to evaluate ventricular function?
Gated cardiac blood pool
What type of procedure is angiography?
Diagnostic and therapeutic
What situations may require interventional embolization as a treatment option?
Clotting, feeding brain tumors
Transjugular intrahepatic portosystemic stent (TIPS) is used to connect the jugular vein to the portal vein in cases to:
Severe cirrosis
What is the congenital pathological condition ductus arteriosus?
Small vessels that do not close at birth
What congenital pathology presents radiographically with two bulges of the aorta at the arch and rib notching?
Coarction of the aorta
What is Tetralogy of Fallot?
Congenital heart defect involving ventricular pulmonary stenosis
What is the most common congenital heart defect?
Arterial septal defect
How is transposition of the great vessels presented on a radiograph?
Narrow mediastinum and pulmonary congestion
What is the most common cause of chronic heart valve disease?
Congenital heart defect
What heart valve is most likely damaged if a patient has an enlarged superior vena cave, right atrium, and right ventricle?
Tricuspid
What cardiac pathology presents radiographically with cardiomegaly, chest congestion, and increased vascular marking in the hilar region of the lungs?
Left sided congestive heart failure
What is the most prevalent disease in humans, especially in the US?
Atherosclerosis
Which vessels are commonly affected by atherosclerosis?
The aorta, coronary arteries, and the cerebral arteries
What cardiac pathology is responsible for more than 30% of all annual deaths in the US and is the single most frequent cause of death in both males and females?
Coronary artery disease
What cardiac pathology is the most commonly caused by an acute thrombus of the coronary arteries?
Myocardial infarction
What are the thrombolytic agents utilized for myocardial infarctions?
Medications that end with -ase
What type of aneurysm is described as a localized bulge involving one side of the arterial wall?
Sacular aneurysm
Where is the most common site for an aneurysm to occur?
Abdominal aorta
What type of aneurysm causes an intramural hematoma and is often located in the descending (thoracic) aorta?
Dissecting aneurysm
What are the risk factors for developing deep venous thrombosis (DVT)?
Clots
What may be an initial treatment for a pulmonary embolus (PE)?
Pulmonary embolectomy/ thrombolytic therapies
What is the most common cause of a pulmonary embolism?
Deep vein thrombosis
Coarction of the aorta:
Additive because of enlarged mediastinum
Septal defects:
Additive because of enlarged mediastinum
Tetralogy of Fallot:
Additive because of enlarged mediastinum
Valvular disease:
Additive because of enlarged mediastinum
Congestive heart failure:
Additive because of fluid in the great vessels and lungs
Cor pulmonale:
Additive because of enlarged right ventricle and pulmonary artery
Aortic dissection:
Additive because of widened mediastinum