Pathophysiology of ischaemia & infarction Flashcards

1
Q

when does an MI occur?

A

when blood flow decreases or stops to a part of the heart, causing damage to the heart muscle

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2
Q

what are the most common symptoms of an MI?

A

chest pain or discomfort which may travel into the shoulder, arm, back, neck or jaw, primarily on the left side

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3
Q

how can an MI be recognised by clinical features?

A

ECG findings
elevated values of biochemical markers of myocardial necrosis
imaging
patholgoy

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4
Q

what is a major cause of death and disability worldwide?

A

an MI

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5
Q

what refers to changes that occur due to the sudden deprivation of circulating blood

A

MI

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6
Q

what is ischaemia?

A

an inadequate blood supply to an organ or part of the body, especially the heart muscles

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7
Q

define hypoxia

A

deficiency in the amount of oxygen reaching the tissues

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8
Q

state 6 factors affecting oxygen supply

A
inspired oxygen
pulmonary function
blood constituents
blood flow
integrity of vasculature
tissue mechanisms
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9
Q

state the 2 factors affecting oxygen demand

A

the tissue itself and the activity of tissue above baseline value

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10
Q

define an atheroma

A

localied accumulation of lipid and fibrous tissues in intake of arteries

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11
Q

what correlates to stable angina

A

established atheroma in coronary artery

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12
Q

what correlates to unstable angina

A

complicated atheroma in coronary artery

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13
Q

what are clinical consequences of atherosclerosis

A
MI
TIA
cerebral infarction
abdominal aortic aneurysm
peripheral vascular disease
cardiac failure
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14
Q

what can coronary artery disease lead to?

A

an MI

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15
Q

what can a MI lead to?

A

cardiac failure

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16
Q

state the 4 factors the scale of infarction damage is dependent on

A

time period
tissue/organ
pattern of blood supply
previous disease

17
Q

state the appearance of infarcts

A

inflammatory response
inflammation from the free radicals as such
scar replaces area of tissue damage