Circulatory System and diseases Flashcards

1
Q

What is hypertension?

A

High blood pressure

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2
Q

How does the heart work?

A

Deoxygenated blood enters via the vena cava and flows into the pulmonary artery. It returns in the pulmonary vein. The blood passes through the chambers.

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3
Q

What is different in the heart into hypertension?

A

The tricuspid valves work harder resulting in the right side of the heart becoming enlarged.

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4
Q

What are the risk factors of hypertension?

A

Obesity, aerobic exercise, alcohol, smoking, diabetes, sleep apnoea and high salt intake.

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5
Q

What can be the causes of hypertension?

A

Excess sodium, insulin resistance, increased peripheral resistance, endothelial dysfunction and stress.

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6
Q

What is the pathophysiology of hypertension?

A

There is a vessel that has a certain parenchyma which leads to small vessel atherosclerosis.

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7
Q

What is the presentation of hypertension?

A

Asymptomatic. later will show with end organ damage.

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8
Q

Complications of hypertension?

A

Coronary artery disease, cerebrovascular accident, hypertrophy, heart failure, retinopathy and vascular dementia.

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9
Q

What affect does hypertension have on periodontal therapy?

A

Due to the microcirculation some people may have pain and be unresponsive to perio treatment.

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10
Q

How would you manage a patient with hypertension?

A

stop smoking, lose weight, diet, reduce alcohol/salt and do more exercise.

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11
Q

What medication could a perso with hypertension be on?

A

CA+ blockers, ACE inhibitors, beta blockers.

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12
Q

What is ischemic heart disease?

A

The narrowing of an arterial system that is delivering blood. Respirations change form aerobic to anaerobic causing the release of acids.

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13
Q

What are the risk factors of heart disease?

A

Diabetes, obesity and hypertension

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14
Q

What is the cause of heart disease?

A

Endothelial injury leads to the exposure LDL’s and leukocytes adhere to the artery wall. Muscle is then stimulated to move to the fatty streak.

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15
Q

What is angina?

A

There is myocardial oxygen demand because of increased physical activity, emotional stress and sexual activity.

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16
Q

What is ischemia?

A

Pain that presents as chest pain and if exertion is stopped it should go away.

17
Q

What is an infarction?

A

Where there is irreversible damage to the muscle - necrosis

18
Q

How do you manage Angina?

A

Lifestyle/anti-platelet therapy/anti-HTN therapy/ BM control.

19
Q

What is acute coronary syndrome?

A

unstable angina with evidence of an MI, usually angina at rest.

20
Q

What is the acute coronary syndrome presentation?

A

Crescendo angina, tachycardia and hypotension.

21
Q

What is the pathophysiology of ACS?

A

Rupture of fibrous plaque - exposure of lipid substances, platelet aggregation, thrombus formation, occlusion of vessel, ischemia and myocardial necrosis.

22
Q

Management of ACS?

A

Morphine. oxygen, aspirin

23
Q

Dental considerations of ACS?

A

Shouldn’t have an issue with stable angina with LA. Unstable is at high risk of MI. Post MI should defer treatment.

24
Q

What is heart failure?

A

A condition where the heart is unable to generate the cardiac output that meets the needs of the body.

25
Q

How does heart failure present?

A

tachycardia, can’t lie down, basal crackles, fatigue, palpitations, syncope, confusion and chest pain.

26
Q

What are the risk factors of heart failure?

A

Diabetes, MI, age, male, HTN.

27
Q

What is the management of heart failure?

A

Medications - beta blockers and aldesterone antagonists.

28
Q

Dental considerations of heart failure?

A

poly pharmacy, dry mouth, poor healing, increased risk of infections, ocygen requirement and can’t lie flat.