Lecture 15 DA Flashcards

1
Q

What artery sits in the anterior left AV groove?

A

Left circumflex artery.

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2
Q

What artery sits in the anterior right AV groove?

A

Right coronary artery.

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3
Q

Where do septal branches originate from?

A

They are diagonal branches that come off the left descending artery.

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4
Q

What are the most important coronary arteries?

A

The right coronary artery, those supplying the left ventricle.

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5
Q

What does the right coronary artery become?

A

The posterior descending artery.

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6
Q

Why are arteries epicardial?

A

They lie outside the heart so that they aren’t squeezed by it.

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7
Q

What are marginal arteries?

A

They are branches off both circumflex arteries (ie. left circumflex and right coronary).

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8
Q

Where does the sinus node artery branch off from?

A

Right coronary artery.

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9
Q

Where does the posterior descending artery originate from?

A

70% from the right coronary, 30% from the left.

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10
Q

What is a third branch off the left coronary artery?

A

The intermediate artery.

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11
Q

What are some of the common arteries used for catheter insertion in an angiogram?

A

Mostly the femoral. Most common used to be the brachial. Radial is also still used.

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12
Q

How does the right coronary artery supply the left ventricle?

A

It supplies it posteriorly.

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13
Q

What are angiograms most often used for?

A

To find myocardial infarcts, which is a major killer.

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14
Q

How do myocardial infarcts occur?

A

They occur from atherosclerotic plaques of cholesterol, which are covered by endothelium. If ruptured, they become a thrombus and cause thrombosis.

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15
Q

What is one way to combat thrombi?

A

Using thrombolytics.

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16
Q

Where do infarcts most commonly occur?

A

Anteriorly - left anterior descending artery.
Posterior/laterally - circumflex artery.
Inferiorly - right coronary artery.

17
Q

Do broken thrombi cause further infarcts?

A

No, for some reason they dont.

18
Q

What is percutaneous coronary intervention?

A

A balloon is inflated using a catheter to squeeze the infarct, and a stent is used to hold it in place.