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DPT MAP II Midterm > Pathophysiology: Ischemic Heart And Vascular Disease > Flashcards

Pathophysiology: Ischemic Heart And Vascular Disease Flashcards

1
Q

Cardio protective factors

A

Fruit/veggies, exercise, moderate alcohol

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2
Q

Contribute most to CV risk

A 
Abnormal lipids (apo A and B ratio)
Smoking
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3
Q

When a patient has an MI but no ST elevation

A

Fatty material is deposited in vessel wall. NSTEMI

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4
Q

Full occlusion MI

A

STEMI - narrowed artery becomes blocked by a blood clot

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5
Q

Athersclerosis is a type of

A

Arteriosclerosis

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6
Q

Consequences of atherosclerosis

A

Narrow size, blockage, stiffness (less reactivity)

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7
Q

Primary cause of hardened and narrowed arteries (atherosclerosis)

A

Stable plaque

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8
Q

Which type of plaque is more likely to rupture, causing MI or stroke

A

Unstable

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9
Q

When does myocardial perfusion occur

A

Diastole

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10
Q

Pain in internal organs is often sensed on the surface of the body

A

Referred pain

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11
Q

How is stable angina relieved

A

Rest or nitroglycerin

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12
Q

Rate pressure product

A

HR x SBP

Number in the thousands

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13
Q

Presence of angina in absence of increased demand

A

Unstable angina

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14
Q

What biomarker marks an AMI

A

Troponin (3-4 hrs) peak 18 hrs

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15
Q

ST elevation

A

MI

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16
Q

ST depression

A

Ischemic cells have leaky cell membranes

17
Q

The baseline is shifted ____ in NSTEMI

A

Upward

18
Q

The baseline is shifted ____ in STEMI

A

Downward

19
Q

Often provides permanent ECG evidence of previous MI in multiple leads

A

Q wave

20
Q

Non Q wave

Subendocardial

A

NSTEMI

21
Q

Q wave

Transmural

A

STEMI

22
Q

Exercise test responses suggesting myocardial ischemia

A

ST segment depression greater or equal to 1 mm
ST segment elevation in leads with previous MI (Q wave)
Multi focal PVCs or runs of V-tach
Peak exercise HR less than 2 SD below age predicted HR (not on beta blockers
Exertional hypotension (SBP drops more than 10 mm Hg)

23
Q

Cardiovascular Risk Factors

A

Cigarette smoking, abnormal lipids (apo -B), hypertension, diabetes, abdominal obesity, psychosocial stress

DPT MAP II Midterm (7 decks)

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