CV Pathophysiology 1 Flashcards

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1
Q

what are the predisposing factors of CV disease?

A

physcial inactivity, tobacco use and unhealthy diet

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2
Q

what things effect cardiac pumping ability?

A

pacemaking electrical signal, force of contraction

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3
Q

what things can go wrong with cardiac pumping ability?

A

heart failures, heart attacks, angina and arrhythmia’s

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4
Q

what things effect integrity of vasculature?

A

heamorrhages and aneurysms

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5
Q

what things can go wrong in blood function?

A

thrombosis and embolisms

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6
Q

what disease effects all aspects of the circulatory system?

A

hypertension

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7
Q

what is the innermost layer of blood vessels?

A

tunica intima

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8
Q

what is the middle layer of blood vessels?

A

tunica media

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9
Q

what is the outermost layer of the blood vessels?

A

tunica externa

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10
Q

what is the composition of the tunica intima?

A

endothelium, basement membrane and internal elastic lamina

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11
Q

what is the structure of the tunica media?

A

elastic fibres and smooth muscle to allow for stretching and contracting

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12
Q

what is the composition of muscular arteries?

A

larger amounts of smooth muscle cells in the tunica media

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13
Q

what is the composition of veins?

A

elastic fibres and collagen in the tunica media

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14
Q

what does the tunica externa consist of?

A

outermost layer of elastic tissue and collagen

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15
Q

what is the lumen like in an artery?

A

narrow

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16
Q

what is the structure of capillaries?

A

one layer in cell wall, high gas exchange, very fragile and fine

17
Q

what are the predisposing factors of cardiac failure?

A

hypertension or atherosclerosis

18
Q

what happens to an artery when atherosclerosis occurs?

A

loss of elasticity, hardening and thickening of walls and narrowing of lumen

19
Q

what are the non-modifiable factors?

A

age, gender, genetics

20
Q

what are the modifiable factors?

A

hyperlipidaemia, hypertension, smoking, diabetes, infections

21
Q

how does the process of atherosclerosis occur?

A

damage to endothelium causing change in vessel permeability, migration of smooth muscle cells causes an accumulation of lipids causing formation of a mature plaque

22
Q

what issues can atherosclerosis cause?

A

formation of aneurysms, thrombosis or embolisms, angina, heart attacks

23
Q

what is a TIA?

A

transient ischaemic attack and a cerebral vascular accident

24
Q

how is atherosclerosis treated?

A

statins, angioplasty, stents

25
Q

what is secondary hypertension?

A

increased blood pressure due to another disease such as kidney disease causing increased volume, adrenal gland tumours causing BP to increase

26
Q

what is an abnormally high blood pressure?

A

140mmHg over 90mmHg

27
Q

what is the BP equation?

A

BP = CO x TPR

28
Q

how is blood pressure controlled?

A

kidneys control fluid levels, effectiveness of the heart, contraction/relaxation of blood vessels, distribution of blood in the body

29
Q

what are the risk factors of hypertension?

A

high sodium levels, alcohol intake and stress