CVD Flashcards
CVD risk factors can be assessed using…?
Q-risk 2
Score
Framingham Risk score
What is IHD usually caused by?
Atheroma
What does ischaemia in the heart lead to…?
Myocyte dyfunction/death
List IHD syndromes.
Angina pectoris
Acute coronary syndrome
Sudden cardiac death = Arrythmias
Chronic IHD
What are the 2 classifications of MI?
Differences?
Acute - full wall
Subendocardial - poorly perfused normally, infarct when hypotensive/angina
State how you would diagnosis an MI.
.Troponin
ECG: ST elevation
CK-MB
What are some of the complications after MI?
Arrythmias
Shock (LV failure)
Stroke (mural thrombus)
Dressler’s syndrome (weeks/months post)
High BP –> Damage bv –> Damage organs.
What are some of the causes of 2” HTN (5%)
Renal - CKD, renal a stenosis
Endocrine: Conn’s, Cushings, Pheochromocytoma, Hyperthyroid
CV: coarctation of aorta
Neurological: Sleep apnoea, increased ICP
What BP is classsified as hypertensive crisis?
BP > 180/120
URGENT TREATMENT
Pulmonary HTN can cause RV hypertrophy, hepatomegaly, Splenic congestion, peripheral oedema. What conditions can cause it?
COPD
Asthma
Interstitial Lung D
PE
The pathogenesis of LVHF is increased PRESSURE or DYSFUNCTION. What 3 conditons can lead to LVHF?
HTN
Valvular HD
MI
Symptoms of LVHF?
Pulmonary oedema Orthopnoea PND Cyanosis Blood in sputum SOB
LVHF and Cor pulmonale can lead to what?
RVHF
is pleural/pericardial effusion seen in LVHF or RVHF? What else is seen?
RVHF
Hepatomegaly
Splenomegaly
Peripheral oedema
State 4 complications of both heart failures.
Chamber dilation
Hypertrophy
Cardiomegaly
Heart failure cells
70% of all Valvular Heart Disease (VHD) is done to…/
Aortic/mitral stenosis
What causes mitral stenosis with the classic fish mouth abnormality?
RHD
autoimmune D after Strep A throat infection
What does RHD cause in the heart?
PANCARDITIS
Which stenosis is caused by age-related calcification or 2 cusps?
Aortic stenosis
can develop angina, CHF