Ischemic Heart Disease Flashcards
Some etiology for ischemic heart disease?
Coronary artery disease (artherosclerosis)
Congenital coronary anomalies
Coronary artery spasm
The size of aneurysms during systole?
Increase
Name some complications associated w ischemic heart disease?
Arrhythmias 90 percent Aneurysm 8-15 percent Mural thrombus 20-40 percent of amis Death Pseudo aneurysm Pericardial effusion papillary muscle dysfunction Pap rupture Vsf 2percent of mi
The most common (mechanical) complication of an MI?
Aneurysm formation
Pathophysiology for ischemic heart disease?
Risk factors: sex, age, smoking, htn, diabetis and hyperlipidemia
Artherosclerotic plaque causes stenotic lesions in the coronary arteries
Obstruction to blood flow leads to deprivation of myocardial oxygen resulting in ischemia
Total blockage of flow causes muscle death (infarction)
Physical signs for ischemic heart disease?
Angina (stable or unstable) although some mi’s 25 percent are silent
Presence of a new murmur post mi could be from mr papillary muscle dysfunction papillary rupture or ischemic vsd
What would you expect to see with patient myocarditis?
Ventricular dysfunction, global or regional in nature.
Cardiac tamponade is rapid filling of fluid?
Restrictive diastolic filling
Pericardial fluid drains into what normally?
Lymphatic system
A medium size pericardial effusion is defined as?
Less than 1cm but seen anterior and posterior
In patient with possible cardiac tamponade echo helps to determine all the following except?
Degree of diastolic dysfunction(but is not clinically relevant)
Which of the following cardiomyopathies is characterized by ventricular dilation and poor overall contrActile function?
Congestive
The size of left ventricular aneurysms during systole?
Increase. Yes true aneurysms of the LV usually increase during systole. Commonly referred to as “systolic bulging”
In the majority of human hearts the posterior descending artery is a branch of which coronary artery?
Right. This means they are “right dominant”
Filling of the main coronary arteries occurs during which part of the cardiac cycle?
Ventricular diastole
The most common cardiac valvular tumor is a? (Primary)
Fibroelastoma
Children w tuberous sclerosis complex TSC develop what type of cardiac tumors?
Rhabdomyomas
A pericardial effusion can often be seen I pts w?
Renal failure
Constrictive pericarditis involves which of the following?
Pericardial thickening and scarring, this restricts right side filling
The majority of human hearts the posterior descending artery is a branch of which coronary artery?
Right
Which of the following best describes unstable angina?
Chest pain at rest
The most sensitive way to diagnose cardiac tamponade?
Respiratory variation of mitral inflow
What might be the first indication of metastatic cardiac disease?
Pericardial effusion