Heart and cardiovascular system Flashcards

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1
Q

What is the pulmonary circulation?

A

Carries blood to and from the lungs to exchange carbon dioxide for oxygen

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2
Q

What is the systemic circulation?

A

Carries blood to the rest of the body

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3
Q

Is blood transported/returned via arteries or veins?

A

Transported via arteries and returned via veins

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4
Q

What is the microcirculation?

A

Where things enter and leave the cardiovascular system- water oxygen, co2, nutrients and waste products

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5
Q

Where do arteries carry blood away from?

A

The heart

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6
Q

Where do arterioles carry blood to?

A

Capillaries

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7
Q

What is the cardiac cycle?

A

The sequence of depolarisation and repolarisation of cardiac muscle giving rise to an electrical cycle of activity in the atria and ventricles

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8
Q

What is the primary cause of coronary artery disease?

A

Atherosclerosis

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9
Q

What are the non modifiable risk factors for atherosclerosis?

A

Age, gender, family history, ethnicity (50% more likely for south asians)

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10
Q

What are the modifiable risk factors for atherosclerosis?

A

Dyslipidaemia, diet, alcohol hypertension, T2D, smoking, inactivity, medications and recreational drug use

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11
Q

What is atherosclerosis?

A

Formed by atheroma- fatty plaque formed on the inside of blood vessels, artery walls can become narrowed, less blood is delivered

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12
Q

What is cholesterol?

A

A lipid molecule, synthesised by animal cells, essential for life as allows cells to survive without a cell wall and helps synthesis of vitamin D, steroid hormones and formation of bile acids

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13
Q

Where is cholesterol mostly synthesised?

A

The liver

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14
Q

What is ‘good’ cholesterol?

A

HDL- transfers fats away from cells towards the liver

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15
Q

What do statins do?

A

Lower hepatic synthesis of cholesterol, more clearance of LDL which means better ratio between HDL and LDL

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16
Q

What are the potential side effects of statins?

A

Hepatoxicity

17
Q

What are the other options of treating atherosclerosis?

A

-Ezetimibe- lower absorption of cholesterol
-Bile acid sequestrants- use up more cholesterol from making more bile acids
-Nicotinic acid- lipase inhibitor
-fibrates- higher lipolysis
-surgical treatment

18
Q

What are some of the consequences of atherosclerosis?

A

Stroke, heart failure, MI (heart attack), angina, hypertension, aneurism, peripheral vascular disease

19
Q

What is a CT angiogram?

A

A type of medical test that combines a CT scan with an injection of a special dye to produce pictures of blood vessels and tissues in a part of your body. Can map all coronary blood vessels.

20
Q

What could you see on a CT angiogram?

A

All blood vessels- blockages, tissue density, good to use before surgery

21
Q

What is a cardiac MRI good for?

A

Can see if a part of the muscle is contracting properly, can find areas that are white- MI

22
Q

What is haemolytic anaemia?

A

High blood pressure causing blood vessels to become turbulent. Causes lower red blood cells.

23
Q

How do you treat hypertension?

A

-increasing excretion of sodium and water by diuretics
-reducing production of angiotension II by ACE inhibitor
-slowing heart rate, force of contraction and TPR- beta blockers

24
Q

What is angina?

A

Chest strangle feeling due to coronary artery disease

25
Q

What is unstable vs stable angina?

A

-Stable- only at exercise or movement
-unstable- while at rest

26
Q

When might you see silent angina?

A

Diabetic patients

27
Q

What is the pharmaceutical management of angina?

A

-Nitrates eg GTN spray
-Beta blockers
-Calcium channel blockers
-Anti-platelet drugs

28
Q

What is the surgical management of atherosclerosis/angina?

A

-Coronary artery bypass grafting
-Percutaneous coronary intervention- stent using balloon in radial artery that holds artery open

29
Q

What are the signs of heart failure?

A

Swollen ankles, peripheral cyanosis, SOB