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Cardiac exam 1
cardiac
| Question | Answer |
|---|---|
| MAP definition | average pressure during cardiac cycle |
| Why is MAP important? | to make sure organs are getting enough blood |
| Normal MAP | 93% |
| Pulse pressure definition | deference between diastolic and systolic pressure |
| Why is pulse pressure important? | arterial stiffness and compliance |
| Normal pulse pressure | 40 |
| abnormal pulse pressure | below 40 (heart failure) OR above 50 (heart disease/stroke) |
| Heart rate reserve definition | 220 minus age minus resting HR |
| Cardiac output | blood ejected into body per min (stroke volume x HR) |
| Stroke volume | volume of blood ejected per L ventricle contraction |
| Ideal cardiac output | 4-6 liters |
| Pre-load | amount refill before systole (venous return + end systole) |
| V02 directly correlates to what? | height and weight |
| Frank sterling principle | increased stretch= increased contractability |
| After load | force required to open aortic valve |
| Ejection Fraction definition | amount of blood ejected vs received |
| Ejection fraction norm | 60-70% |
| Ejection fraction heart failure | <40% |
| Ejection fraction is best indicator for what? | cardiac function |
| S3 | heard in Congestive heart failure |
| S4 | Vibration of ventricles (from hypertension & L ventricle hypertrophy) |
| Sensitivity | True positives |
| Specificity | True negatives |
| Troponin is gold standard for what? | cardiac injury |
| Creatine phosphokinase (CK-MB) tested withing ? following ? | 48 hours MI |
| HDL | Good cholesterol |
| LDL | Bad cholesterol |
| Contraindication of hemoglobin | <8g/100ml |
| Precaution of hematocrit | <20% |
| PET scan is gold standard for what? | blood flow |
| Low ABI indicates what? | Low arterial blood flow |
| STEMI | Major coronary arteries completely blocked "Big Bang" |
| NSTEMI | Small coronary artery partially clocked "Sneak attack" |
| High CPK | 30-170 |
| What could high CPK cause? | Brain injury/stroke Convulsion MI Electrical shock |