Heart Problems Flashcards

1
Q

congenital defects are

A

present at birth

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2
Q

congenital defects can come from

A

environmental influences, maternal infections, maternal drug use during second month of pregnancy

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3
Q

coarctation of the aorta

A

involves a segment that is too narrow

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4
Q

septal defects involve

A

holes in the interatrial or interventricular septum

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5
Q

Tetralogy of fallot

A
  • interventricular septal defect lets oxygen poor blood travel from right to left ventricle and into systemic circulation
  • aorta emerges from both ventricles which reduces cardiopulmonary circulation
  • narrowing of pulmonary valve reduces cardiopulmonary circulation
  • right ventricle is enlarged
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6
Q

rheumatic fever is caused by

A

a bacterial infection, such as strep throat, that triggers the immune system to produce antibodies that can damage the bicuspid and aortic valves

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7
Q

cardiac tamponade occurs

A

if pericardial cavity fills with fluid and compresses the heart

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8
Q

cardiomyopathy refers to

A

any disease that results in deterioration of the heart wall or abnormal thickening of the interventricular septum

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9
Q

valvular insufficiency refers to

A

any valve disorder that may lead to heart murmur

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10
Q

aortic stenosis results from

A

narrowing of aortic valve

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11
Q

mitral valve prolapse occurs

A

when portion of mitral valve is pushed back into left atrium during ventricular systole

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12
Q

a heart attack or myocardial infarction involves

A

the sudden death of heart muscle and its replacement with scar tissue because of ischemia (a reduction in blood flow)

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13
Q

process of heart attack

A

-blood supply to an area of the heart wall is interrupted, plaque is deposited along wall of coronary artery, platelets aggregate and release chemicals that trigger vasospasm, common pathway of coagulation is activated, coronary artery gets occluded by a clot and blood flow decreases

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14
Q

angina pectoris is

A

severe pain or tightness or pressure in the chest that accompanies ischemia of the myocardium

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15
Q

pain of angina pectoris is described as

A

constricting, squeezing, or chokin or knife like

because anaerobic respiration in cardiac muscle cells produces lactic acid

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16
Q

nitroglycerin is used to

A

treat angina because it is a potent vasodilator that can improve blood flow to myocardium

17
Q

congestive heart failure results from

A

the failure of ventricles to pump blood effectively

18
Q

in congestive heart failure

A

blood backs up in the lungs causing pulmonary edema or blood backs up in the systemic vessels causing peripheral edema

19
Q

the SA node establishes the

A

typical sinus rhythm of one’s heart rate

20
Q

ectopic focus is produced by

A

spontaneous generation of action potentials outside of SA node

21
Q

an arrhythmia is

A

any abnormal or irregular heartbeat due to the faulty production of electrical impulses or the poor conduction of impulses through the heart

22
Q

if the SA node becomes diseased or damaged and fails to set the sinus rhythm,

A

the AV node can take over and establish a nodal rhythm at a much slower rate

23
Q

AV node produces only

A

40 to 50 beats per minute instead of 70-80 beats per minute by the SA node

24
Q

artificial pacemaker can be implanted

A

under skin to electrically stimulate ventricles to contract

25
Q

a heart block is the

A

failure of the cardiac conduction system to transmit signals along the right and left bundle branches, which results in missed heart beats or reduced heart rate

26
Q

bradycardia is a

A

resting heart rate of less than 60 beats per minute

27
Q

atrioventricular block involves

A

prolonged or intermittent or missing conduction of nerve signals between atria and ventricles

28
Q

total heart block damages the

A

AV node and reduces ventricular contractions to between 20 and 40 bpm

29
Q

during atrial flutter

A

ectopic foci in the atria cause atrial rhythm to reach 240 to 360 beats per minute

30
Q

tachycardia is

A

a resting heart rate in excess of 100 bpm

31
Q

premature ventricular contractions can occur when

A

action potentials are initiated independent of the SA node and cause occasional abnormal heart beats

32
Q

extrasystole occurs because

A

the impulse is generated more quickly from the SA node and heart has a longer time for ventricular filling

33
Q

extrasystole can be triggered if

A

the heart is irritated by certain drugs or by lack of sleep or by stress

34
Q

ventricular fibrillation is a

A

life threatening condition caused by nerve signals arriving at different parts of the myocardium at different times

35
Q

in ventricular fibrillation blood is

A

not pumped so blood does not flow to the myocardium and an MI occurs
-strong brief electric defibrillation depolarizes the entire heart so the SA node can resume its normal rhythm