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Front 1

Stable Angina

Back 1

pain that is precipitated by excertion

Front 2

Unstable Angina

Back 2

prolonged, recurrent pain at rest

indicative of immenient MI

Front 3

Prinzmetal Angina

Back 3

intermettent pain at rest

Front 4

MI

Back 4

152, table 10-1, 10-2

Front 5

Rheumatic Fever

Back 5

multisystem inflammatory disorder, children 5-15

transient mild migratory polyarthritis

1-4 weeks after tonsillitis - group A B-heme Strep

inc ASO

Aschoff Body - area of focal interstitial myocardial inflamm that has frag collagen and fibrous material, large cells(Anitschkow cells), and multinucleated giant cells(Aschoff cells)

Front 6

Rheumatic Fever - Clinical

Back 6

Pancarditis (Peri, Myo, Endo Cariditis)

Rheumatic Endocarditis - points of valve closure, post wall of LA; forms MacCallum plaque

Valve leaflets red, swollen, nonfriable, rubbery vegatations

Then, fibrotic healing and u get thickened, fibrotic, calcified valves - RHD

Fever, malaise, inc ESR, Arthritis, Arthalgia, Migratory Polyarthritis, Subcutaneous nodules, Erythema Migrans, Chorea

Front 7

RHD - Mitral Valve

Back 7

most frequently affected

stenosis - fishmouth, buttonhole deformity; higher diastolic pressure in LA than in LV

also insuff possible

Front 8

Infective Endocarditis

Back 8

large, soft, friable vegatations of fibrin and inflamm celss

can ulcerate or rupture one of cordae tendineae

Acute - Staph
Subacute - Strep viridans, pts with CHD, or prexisting valvular HD

mitral most freq
tricuspid - intraven drug users (Staph)

Complications - Distal Embolization, Septic Infarcts, Focal glomerulonepritis

Front 9

NonBacterial Thrombotic Endocarditis (Marantic)

Back 9

assoc with debilating disorders,

small sterile fibrin deposits

peripheral embolization, but emboli are sterile

Front 10

Libman Sacks Endocarditis

Back 10

SLE

small vegations on either or both sides of leaflets

Front 11

Endocarditis in Carcinoid syn

Back 11

caused by secretory products of carcinoid tumors (serotonin)

thickened endocardial plaques - involving valve cusps of right heart or mural endocardium

doesnt involve left side cause lung detoxifies serotonin

Front 12

MVP

Back 12

myoxoid degeneration of ground substance of valve (Marfans comp)

streching of posterior valve leaflet making "floppy cusp"(Parachute deformitiy)

systolic murmur with midsystolic click

Front 13

M Stensis

M Insuff

Back 13

M Stenosis - cause of RHD

M Insuff - RHD usually, or MVP, or damage to pappilary muscle in MI

Front 14

Aortic Stenosis

Back 14

Calcific aortic stenosis

age relative - degenerative calcific aortic stenosis : for older than 60, has to have 3 cusps

congenital bicuspid AV

RHD

Front 15

Aortic Insuff

Back 15

Nondissecting Aortic Aneusysm

RHD

Sypilitic aortitis - dilation of aortic valve ring