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CVR Biweekly 3 > Infarct CV Remodeling- Sosnowski > Flashcards

Infarct CV Remodeling- Sosnowski Flashcards

1
Q

key risk factor for MI’s

A

lifestyle choices

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2
Q

inadequate blood supply (decreased delivery of O2 and nutrients) to myocardium causing myocyte death

A

Myocardial Infarct

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3
Q

chest pain (can radiate)
dyspnea/sob
epigastric discomfort/N/V
diaphoresis
syncope
cognitive dysfunction

A

signs and symptoms of MI

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4
Q

if heart is not beating well, what will try and compensate for that and ultimately make situation worse

A

sympathetic nervous system

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5
Q

what do you see on EKG for STEMI

A

convex ST elevation

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6
Q

what leads will have RCA obstruction that leads to MI

A

II, III, aVF

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7
Q

what to administer to someone having STEMI at bedside of hospital

A

MONA (morphine, O2, NTG, Aspirin)

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8
Q

biomarkers that will be increased in STEMI

A

Troponin I
CK-MB

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9
Q

biomarker for re-infarction

A

CK-MB

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10
Q
A

sign of acute MI (pulmonary edema)

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11
Q

top and bottom

A

top: anterior
bottom: posterior

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12
Q

type of MI w/ ischemic necrosis of endo, myo, and epicardium

A

Transmural

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13
Q

type of MI w/ ischemic necrosis of endo and subendocardial myocardium

A

Nontransmural

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14
Q

most dangerous MI

A

Transmural

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15
Q
A

normal myocyte

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16
Q

how to distinguish b/t acute MI or myocarditis

A

acute MI: red/dead some neutrophils
myocarditis: some red/dead, lots of neutrophils, pt. is FEBRILE

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17
Q
A

irreversible myocyte injury
neutrophils seen on R

18
Q
A

irreversible myocyte injury

19
Q
A

granulation tissue on L and scar on R

20
Q

increased thickness of L ventricle due to HTN, aortic valve stenosis, hypertrophic cardiomyopathy

A

L ventricular hypertrophy

21
Q
A

LV hypertrophy

22
Q

more muscle= _____amplitude of QRS complex

A

greater

23
Q

increased thickness of RV due to severe lung disease and valve defects/infections/congenital disorders

A

RV hypertrophy

24
Q
A

RV hypertrophy (R should never be size of L)

25
Q

large QRS amplitude seen in V1

A

RV hypertrophy

26
Q

narrowing of artery due to atherosclerosis

A

CAD

27
Q

due to vessel damage caused by chronic inflammation reactive to buildup of cholesterol and plaques in walls of arteries

A

CAD

28
Q
A

atheroma

29
Q
A

thrombus

30
Q

best Rx for CAD

A

combination therapy of diet/exercise + meds

31
Q

MI from LAD occlusion seen in what leads

A

V1-V4

32
Q

MI from occlusion of LCA seen in what leads

A

I, aVL, V5, V6

33
Q
A

transmural infarct

34
Q
A

myocardial rupture

35
Q
A

myocardial fibrosis from ventricular aneurysm

36
Q
A

subendocardial infarct

37
Q
A

MI necrosis; <24 hrs

38
Q
A

acute inflammation; days

39
Q
A

granulation tissue; 3 dys-weeks

40
Q
A

fibrosis; months

41
Q

MI from LAD

A

L arrow: necrosis
R arrow: inflammation

CVR Biweekly 3 (12 decks)

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