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Patho 18
| Question | Answer |
|---|---|
| Describe the common diagnostic tests for cardiovascular function | Electrocardiogram, auscultation of heart sounds through stethorcope, excercise stress tests, chest x-ray, nuclear imaging, SPECT, Cardiac catheterization, coronary angiography, doppler studies, blood test, and arterial blood gas determination |
| Describe the dietary and lifestyle changes in the treatment of cardiovascular disease | Reduction in total fat intake, salt and weight. Regular excercise. Cessation of smoking. |
| Explain the role of cholesterol and lipoproteins in the development of atheromas | Atheromas form in large ateries, at points of bifucarion. Low-density lipoprotein LDL: bad component of cholesterol, binds to receptors then enters cells. |
| Explain the significance of metabolic syndrome in the development of cardiovascular disease | in patients with diabetes, lipid levels are increased and there is a tendency toward entothelial degeneration. |
| State the factors predisposing to atherosclerosis | unmodifiable: Age, Gender, Genetic or familiar factors. Modifiable: Obesity, smoking, sedentary lifestyle, DM, poorly controled HTN, combo of smoking and contraceptives, high cholesterol and hypertension |
| Compare angina and myocardial infarction | Angina occurs when there is a deficit of oxygen to the heart muscle. Myocardial infarction occurs when a coronary artery is completely blocked, leading to prolonged ischemia and cell death of the heart wall. |
| Describe the common arrhythmias and cardiac arrest | Bradycardia: slow heart rate. Tachycardia: rapid heart rate. Sick Sinus Syndrom SSS: alternating bradycardia and tachycardia often requiring a mechanical pacemaker |
| Discuss the causes of congestive heart failure and the effects of left-sided and right-sided failure | |
| Explain the changes in blood flow and their effects in common congenital heart defects | E |
| Discuss the development of rheumatic fever and rheumatic heart disease | u |
| Describe the etiology and pathophysiology of infectious endocarditis and pericarditis | c |
| Explain the development and possible effects of essential hypertension | j |
| Compare the arterial peripheral vascular diseases atherosclerosis, Buerger's disease, Raynaud disease, and aneurysms | o |
| Describe the development and effects of venous disorders, varicose veins, phlebothrombosis, and thrombophlebitis | n |
| Discuss the types of shock and the initial and progressive effects of shock on the body | o |
| Describe the common drug groups used in the treatment of cardiovascular disease | vasodilators: reduce peripheral resistance systemically beta-blockers: block beta1-adrenergic receptor in heart |
| common drug groups used in the treatment of cardiovascular disease | Calcium channel blockers: block movement of calcium ions Digoxin: slows conduction of impulses and heart rate |
| common drug groups used in the treatment of cardiovascular disease | Angiotensin-converting enzyme inhibitor: block conversion of angiotesnin I to angiotensin II Diuretics: remove excess sodium and water from body through kidneys |
| common drug groups used in the treatment of cardiovascular disease | Anticoagulant: reduces risk of blood clots |
| common arrhythmias and cardiac arrest | Premature atrial contractions PAC: ectoptic beats of the atria Palpations: irregular heart contractions, often arising from excessive caffeine intake, smoking or stress. Atrial fibrillation: atrial heart |
| common arrhythmias and cardiac arrest | Atrial flutter: atrial heart rate of 160 to 350, AV node delays conduction Atrial fibrilllation: atrial heart rate over 350, causes pooling of blood in atria |
| common arrhythmias | 1st degree heart block: conduction delay prolongs PR intercal (time between atrial and ventricular contractions) 2nd degree heart block: longer delays lead periodically to a missed ventricular contraction |
| common arrhythmias | Bundle branch block: interference with conduction in one of the bundle branchs ventricular tachycardia: reduction in filling time and force of contraction |
| common arrhythmias | ventricular fibrillation: muscle fibers contract independently and rapidly Premature ventricular contractions: additional beats arising from a ventricular muscle cell |