When the cardiovascular system goes wrong Flashcards

1
Q

What type of disorder is hypertension?

A

CVS disorder

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2
Q

is hypertension systemic? what does this mean?

A

yes.

it affects the CV system

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3
Q

what is hypertension?

A

high blood pressure

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4
Q

how does blood pressure change with age?

A

it increases

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5
Q

what are the 2 main types of hypertension?

A

1) primary/ essential/ idiopathic

2) secondary

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6
Q

what makes hypertension primary type?

A

if the medical cause is unknown

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7
Q

what is primary hypertension linked to?

A

genetic predisposition
alcohol intake
lack of exercise

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8
Q

what is the most common type of hypertension?

A

primary

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9
Q

what makes hypertension secondary type?

A

if the medical cause is known

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10
Q

give 2 examples of causes of secondary hypertension

A

kidney disease
endocrine disorders e.g. diabetes
adrenal medulla disease- excessive adrenaline release

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11
Q

why is primary hypertension more difficult to treat?

A

the cause is unknown

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12
Q

what are the 5 types of drug given to those with hypertension?

A
  • drugs which inhibit cardiac/ vascular depolarization, reduce cardiac output and cause vasodilation
  • drugs which inhibit the action of angiotensin II on aldosterone production, preventing renal Na+/H2O absorption reabsorption to prevent blood volume increase
  • drugs which increase Na+ and water loss, therefore reduce blood volume
  • drugs which reduce Total Peripheral Resistance (TPR) by inhibiting the action of noradrenaline
  • Drugs which reduce cardiac output
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13
Q

Hypertension is a major risk factor for which other diseases? (give 3)

A
  • atherosclerosis
  • stroke
  • cardiovascular accident
  • heart failure
  • renal failure
  • aneurism
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14
Q

what’s an aneurysm?

A

a weakness in the wall of arteries that can’t sustain high blood pressure- could rupture

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15
Q

what type of disorder are vascular diseases?

A

CVS disorder

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16
Q

what’s arteriosclerosis?

A

vascular disease
hardening and thickening of the arterial walls
loss of tissue elasticity (part of natural ageing process)
clinically significant when due to atherosclerosis

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17
Q

what is atherosclerosis?

A

vascular disease
atheroma (fatty plaque) in the wall of blood vessel
caused by damage to endothelium
forms a fibrous caps of dense extracellular matrix made up of lipid accumulation, macrophages, etc.
narrows lumen of vessel and restricts blood flow

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18
Q

why can’t atheromas simply be removed?

A

they include a matrix made up of several components and can have blood vessels flowing through them

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19
Q

what’s thrombosis?

A

vascular disease

blood clot in vein and artery

20
Q

what’s the most common type of thrombosis?

A

Deep Vein Thrombosis (DVT)

21
Q

what is a blood clot in the lungs called?

A

pulmonary embolism (PE)

22
Q

what’s the technical name for heart attack?

A

myocardial infarction

23
Q

what causes a myocardial infarction?

A

blockage of vessel in the heart, causing muscle death

24
Q

what’s the leading cause of death in the developed world?

A

myocardial infarction

25
do myocardial infarctions affect more males or females?
males
26
what other disorder often causes myocardial infarction?
atherosclerosis of a coronary artery
27
how long after cut off blood supply in heart attack does heart muscle start to die?
20 minutes
28
what is Angina pectoris?
pain caused by endogenous vasodilators | symptom of underlying problem
29
how is Angine pectoris often treated?
stents
30
what can valvular defects cause?
blackflow in heart
31
what are the 2 types of valvular defects?
regurgitation | stenosis
32
what's regurgitation?
inadequate closure of valve leads to back-flow and decrease in cardiac output
33
what's stenosis?
inadequate opening of valve, obstructing flow- often caused by thickening of the valve or other tissue/muscle
34
how can rheumatic fever cause nitral valve stenosis years after infection?
the pathogen has similar proteins to the valves, the body creates antibodies to attack the pathogen and also attacks the valve
35
what are Arrhythmias?
deviation of the heart's normal sinus (SAN) rhythm
36
symptoms of Arrhythmias- give 3
- may be symptomless - palpitations - dizziness - syncope (unexplained fainting) - heart failure - sudden death
37
what is bradycardia?
too slow HR | less than 60 BPM
38
what causes bradycardia?
problems in SAN- slowed signal, pause in activity, block of the electrical impulse
39
how is bradycardia treated?
pacemaker
40
what is tachycardia?
too fast HR | higher than 100 BPM
41
what are the 2 types of tachycardia?
sinus | non-sinus
42
what is sinus tachycardia?
tachycardia caused by unerlying medical problems affecting SNS
43
what causes non-sinus tachycardia?
addition of abnormal impulses
44
what's chronic heart failure?
where cardiac output is inadequate, despite venous return
45
what causes chronic heart failure?
decline in contractility and ability to develop forceful contractions