Word Associations Flashcards
concentric hypertrophy
HFpEF
diastolic HF
HFpEF
systolic HF
HFrEF
eccentric hypertrophy
HFrEF
pressure overload
concentric hypertrophy
volume overload
eccentric hypertrophy
CRHD
mitral stenosis
dystrophic calcification
aortic stenosis
fused commissures
CRHD
leaflet neovascularization
CRHD
Marfans
aortic regurg
retraction of valve leaflets
CRHD, aortic regurg
myxomatous degeneration
mitral regurg
torn chordae
mitral regurg
bacterial endocarditis
regurgitation, emboli, glomerulonephritis
NBTE
emboli from valves
tx goal in uncomplicated htn
140/90
tx goal in complicated htn
130/80
activating RAAS
hypo: volemia, natremia, tension, adrenegic activation
deactivating RAAS
angiotensin receptor binding, feedback inhibition
RAAS rate limiting step
renin
AT1
vasoconstriction
AT2
vasodilation
LOX1
angiotensin II –> LDL –> atherosclerosis
NFKB
angiotensin II –> VCAM, MCP1
persistent cough
ACEI effect, bradykinin
apoB
chylomicrons, VLDL, LDL, atherogenic
apoA
HDL
apoE
HDL, VLDL, IDL, not LDL
apoCII
lipoprotein lipase, cofactor, chylomicrons, VLDL
loss of apoE
circulating LDL in endogenous pathway
eruptive xanthomas
hyperchylomicronemia (FCS)
LPL, apoCII mutation
familial chylomicronemia syndrome
tendon xanthoma
familial hypercholesterolemia
pancreatitis
familial chylomicronemia syndrome, severe familial hypertriglyceridemia
cutaneous xanthoma
familial hypercholesterolemia (also FDB, ADH3)
corneal arcus
familial hypercholesterolemia (also FDB, ADH3)
LDL receptor mutation
familial hypercholesterolemia
apoB100 mutation
familial defective apoB (FDB)
PCSK9 GOF
autosomal dominant hypercholesterolemia 3 (ADH3)
VLDL overproduction
familial combined hyperlipidemia (FCHL)
ApoEII mutation
familial dysbetalipoproteinemia (FD)
palmar xanthoma, tuberose xanthoma
familial dysbetalipoproteinemia (FD)
high VLDL, no mutation
familial hypertriglyceridemia (and severe version)
ABCA1 mutation
tangier disease, cholesterol macrophages, low HDL
free cholesterol buildup
LCAT deficiency
corneal cholesterol
LCAT deficiency
ratelimiting in cholesterol
HMG CoA Reductase, statins
6%
double dose statin = 6% risk reduction
flushing
niacin
ADAMTS7
coronary artery disease, atherosclerosis
selectins
leukocyte rolling
MPO
LDL oxidation, atherosclerosis
scavenger receptors
foam cells, atherosclerosis
TGFbeta
stable atherosclerotic lesion, SMC ECM
Pulsus Paradoxus
tamponade
oriface area
stenosis
regurgitant fraction
regurgitation
prolapse, flail MV
myxomatous degeneration
acute MR
high TSV, RF, reduced CO/FSV, increased LVEF, increased LVEDP increased preload, decreased afterload, hypercontractile
chronic MR
high TSV (>AMR), normalized CO/FSV, normalized LVEDP, increased LVEF (<AMR), RF(=AMR), increased dimension, increased preload(AMR), normalized afterload, hypercontractile
decompensated CMR
hypocontractile, reduced TSV, reduced FSV/CO, increased RF, hyponormal LVEF
diastolic regurgitation
aortic
systolic regurgitation
mitral
FSV = TSV
aortic regurgitation
systolic hypertension with diastolic hypotension and high LVEDP
several aortic regurg
acute AR
decreased effective CO, increased LVEDP, hypercontractile, increased LVEF
chronic AR
normalized effective CO, reduced perfusion, increased LVEDP (<AAR), increased dimension, hypercontractile, increased LVEF
restenosis
PCI
drug eluting stent risk
thrombosis
killer of young people
hypertrophic cardiomyopathy
fibrillin 1
marfan
elevated cardiac enzymes
infarct
thick fibrous cap
stable angina
plaque rupture
ACS
complete obstruction
transmural MI
thin wavy myocytes
minutes after MI
LDH stain
infarcted cells are white <12 hours
dark mottling
MI 12-24 hours
hyperemic border
MI 3-10 days
granulation tissue
MI 2-4 weeks, grey/red
scar
MI 8-10 weeks
contraction band necrosis
MI reperfusion
hemorrhagic infarct
MI reperfusion, free radicals
ventricular rupture
transmural MI 3-7 days
ventricular aneurysm
transmural MI weeks/months
nkx2.5
cardiac homeobox
Islet1
secondary heart field defects
semaphorins
vasculogenesis
interstitial edema
CHD
polycythemia
cyanosis
cyanosis
tetralogy, TGA
PBF dependent
tetralogy
PBF independent
TGA
continuous murmur
PDA
holosystolic murmur
MR
no flow in legs
tubular hypoplasia/dominant PDA, no aortal flow
intercostal collaterals
discrete coarctation
tetralogy
vsd, POTO, RVH, aortic alignment
4 chamber dilation
DCM
DCM
systolic pump failure
interstitial fibrosis and mixed hypertrophy/atresia
DCM
banana ventricle
ASH - HCM
HCM
diastolic dysfunction
myocyte disarray and branching
HCM
LVOT
HOCM, SAM
Ice cream cone/LA hypertrophy
RCM
amyloid
RCM
RCM
diastolic dysfunction
flabby heart
DCM, myocarditis
hypersensitivity
eosinophilic myocarditis
lymphocytes
lymphocytic myocarditis
granulomas
giant cell myocarditis
low RA/RV, low PAWP
hypovolemic shock
decreased SVR, increased CO, sick
septic shock/distributive
low CO, high pressures
cardiogenic shock
high RA/RV pressures, low CO
obstructive shock
equal diastolic pressures in heart
tamponade
slow response
SA, AV
fast response
his, ventricles, atria