exam 1 Flashcards
holter monitoring invasive or non invasive?
-monitor electrical activity -24-48 hours -non invasive
ankle brachial index invasive or non invasive?
-cuffs on ankle and arm -compare BP a ankle and arm -low index = narrowing/blockage -noninvasive
what was main idea about CR in 1950s
resotre functional capacity
S/S of stable angine
-pain -decline in ATP -diastolic relaxtion
compensated vs uncompensated vs intractable
-com: mechanism work -uncom: mecahnism dont work -intra: heart fails despite therapies
coronary artery bypass graft (CABG) invasive or noninvasive?
take healthy artery and connect it to bloacked artery to bypass bloacked portion -invasive
what was main idea about CR in 1980s
-more drug therapies -exercise at 50-70% VO2max for longer periods -resistance traning -AACVPR formed
why does stable angine occue
limited blood flow to one or mroe coronary arteries
how do you diagnose solent angina?
ST segment elevation or depression -there will be no S/S
how to diagnose stable angina
-stress test reveals chest pain -ST segment dperession or elevation -fall in BP due to reduced ventricular contractility
radionuclide stress testing invasive or noninvasive?
-inject radioactive isotope -obtain nuclearimages at rest and post exercise -look at RBCs -round is normal and irregular shape is a defect -invasive
what age must a client be to have age be counted as a risk factor?
male: at or above 45 female: at or above 55
what is the waist girth for obesity to be counted as risk factor?
male: >102cm female: >88cm
what are the S/S of chronic congestive heart failure
-rapid HR -pallor -disphoresis
what was main finding in 1800s about CR
-little known -starting cardiovasc research
when should you stop exercise with a patient in phase I of CR?
5 of them
- HR >130 or >30 above pre exercise level
- DBP at or above 110
- decrease in SBP >10
- signif ventric or artrial arrhythmias
- 2nd or 3rd degree heart block
S/S of unstable angina
- crescedo angina
- angina w/ exertion
- angina after recent MI
- ST segment changes
progression of atherosclerosis
- injury to blood vessel
- dysfunction of endotherlium
- fatty streaks form made from foam cells
- LDL enters vessel and causes further damage
- plaque starts to form
- plaque:raised fibrous plaque with cap
- will occlude artery more and more
- cap from plaque can break off and cause clot
what was mina idea about CR in 1990s
-rehab open to more diseased condtions exercise and goals became more individ
treatment for an MI?
-rapid managment and re perfusion -prevent complications
when is it alright to progress with exercise with a “stable” patient during phase I or CR?
- adequate HR increase
- adequeate SBP rise
- no new rhythm or ST changes
- no cardiac symptoms
king of hearts invasive or noninvasive?
records when you have symptoms -non invasive
how does EECP relieve angine and degree of iscemia?
decreases afterload that heart has to pump againdt and increases preload that fill heart to increase CO
medical stress test invasive or noninvasive
exercise for 10-15 min monitor BP and ECG -invasive
