OS considerations in cardiovascular disorders

Question 1

Where are the sympathetics for CV?

Answer 1

T1-6

Question 2

Where do these sympathetics synapse?

Answer 2

1. upper thoracics

2. Cervical chain ganglia

Question 3

sympathetics from right pass and right deep plexus innervate?

Answer 3

SA node

Question 4

Hyperactivity of R. deep plexus/pass predisposes to?

Answer 4

Suprventricular Tachy

Question 5

L pass through L. deep plexus innervate?

Answer 5

AV node

Question 6

Hyperstim of L-pass/plexus =>?

Answer 6

Ectopic foci

V. Fib

Question 7

Increased tone assc. w/increased ____ post MI.

Answer 7

Morbidity

Question 8

Increased tone does what to collateral circulation development?

Answer 8

Inhibits it

Question 9

Vessels rich in sympathetics =>

Answer 9

vasoconstriction

Question 10

What nerve goes to the SA node?

Answer 10

Right Vagus N.

Question 11

Hyperactive Vagus N. =>

Answer 11

Sinus brady arrythmias

Question 12

L. Vagus supplies?

Answer 12

AV node

Question 13

Hyperactivity of L. Vagus leads to?

Answer 13

AV blocks

Question 14

Visceral-visceral reflexes are pulmonary branches strongest inhibitory reflex-?

Answer 14

Aspiration

Question 15

Parasympathetic visceral to visceral reflexes cause?

Answer 15

1. Slowing HR
2. Larynx irritation
3. Pressure on carotid and globe of eye

Question 16

Visceral-visceral reflexes are less affective in ____ pts and more affective in ____ pts.

Answer 16

1. Sympathecotonic

2. Vagotonic

Question 17

Where are Vagal connections abundant?

Answer 17

OA, AA and C2

Question 18

Drainage from heart and lungs goes where?

Answer 18

R. Lymphatic duct

Question 19

If drainage is impaired what can happen?

Answer 19

Homeostatic mechanisms become impaired

-increased morbidity and mortality w/heart problems

Question 20

Peripheral lymphatic congestion is linked to?

Answer 20

Atherosclerosis and HTN

Question 21

Thoracic duct is under ____ control?

Answer 21

Sympathetic control

Question 22

Hypersympathetic activity can do what to lymphatic flow capacity?

Answer 22

Reduce flow capacity

Question 23

What is considered severe scoliosis and how does it relate to cardiac function

Answer 23

1. 75 degree thoracic curve

2. Compromises cardiac function

Question 24

Pts with decreased CO, irregular gait patterns increase cardiac workload how much?

Answer 24

300%

-work to restore gait to normal

Question 25

Does decreased cardiac symptoms after OMM rule out need for further work-up or therapeutics in a given patient

Answer 25

No

Question 26

Constrochondritis is also known as?

Answer 26

Tietze’s syndrome

Question 27

Cardiac SD found at what levels?

Answer 27

T2-4 on left

Question 28

Ant wall MI, SDs?

Answer 28

T1-4

Question 29

Post and inf wall MI =>

Answer 29

Bradyarrhythmias

Palpatory changes at C2

Question 30

HPT SDs?

Answer 30

T5-L2

Question 31

1st goal of Tx an MI?

Answer 31

Decrease sympathetic activity in upper thoracics

-Use indirect techniques

Question 32

Vagal stimulation (C2 and cranial base) is related to what infarction?

Answer 32

Inf. wall

Question 33

T1-6 (especially T2-3 on L.) related to what infarction?

Answer 33

Ant. wall

Question 34

Do you treat thoracic inlet directly or indirectly?

Answer 34

Indirectly

Question 35

How to treat lymphatics?

Answer 35

1. Pectoral Traction

2. Diaphragm via thoracolumbar fascia

Question 36

HPT is related to what chapman points?

Answer 36

Post T11 and 12

Question 37

CHF Tx emphasizes what?

Answer 37

Lymphatics and Autonomics

Question 38

Treating what in CHF will optimize lymphatic pump?

Answer 38

Thoracolumbar diaphragm

Question 39

To Tx Ars you modify vagal tone with consideration to?

Answer 39

OA/AA/C2
Valsalva
Oculocardiac reflex
Carotid sinus