Wk 1 Epi/Pericardial Disease Flashcards
Myocarditis: Inflammation of the __
Myocardium
Myocarditis:
Inflammation causes loss of __ (cardiac muscle cells)
Myocytes
__ disruption is common with myocarditis. This makes the heart muscle contract
Conduction
The most common cause of myocarditis is what virus?
Coxsackie virus A and B
What is pericarditis?
Inflammation of the fluid that accumulates the pericardial space
What is a complication of pericarditis?
Pericardial effusion
What amount of fluid in pericarditis causes cardiac tamponade?
200 mLs
What type of chest pain is associated with acute pericarditis?
Sharp and worsens with a deep breath
What is a pericardial friction rub?
Scratching sound that can be heard through the stethoscope
What can happen on an EKG if someone has pericarditis?
ST elevations
What are the symptoms of cardiac tamponade called?
Beck Triad
What are the symptoms that make up the Beck triad?
Hypotension
Jugular vein distention
Muffled heart sounds
Why does hypotension happen in cardiac tamponade?
Low cardiac output which then causes the jugular vein distention
What happens n 70-80% of patients with cardiac tamponade?
Pulsus paradoxus
What additional two symptoms occur with pericarditis?
Dyspnea
Fever
What is pulses paradoxus?
decrease in systolic pressure of 10 mmhm or more with INSPIRATION
If a patient has pulsus paradoxus as they exhale there is…
decreased pressure in the chest
What are 4 medications used for treatment of pericarditis?
NSAIDs
Aspirin
Corticosteroids
Colchicine
What is colchicine typically used for?
Gout
When is colchicine for pericarditis used?
For patients who NSAIDs do not work
