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20 Cards in this Set

  • Front
  • Back

Hypertensive heart disease

related to effects in the heart related to increased afterload


LV undergo hypertension

Effects of LVH

increased demand for O2


structural heart disease=risk for arrhythmia or SCD


thickened ventricle not able to relax (S4)


dilation via CHF occurs without correction

valvular diseases

stenosis=tight valve


regurg=leaky backwards flow


upstream hypertrophy

Mitral stenosis

rheumatic heart disease

aortic stenosis

senile calcific stenosis


calcification of bicuspid valve

mitral regurg

LV dilation


papillary muscle dysfunction


rupture of chordae


mitral valve prolapse

aortic regurg

aortic dilation (HTN, syph, marfan's, CTD)


Rheumatic heart disease

sequala of rheumatic fever following strep pharyngitis


inflammation of the layers of the heart


mitral valve most common involved

Aschoff body

focus of fibrinoid necrosis surrounded by lymphocytes and macrophages

verrucous endocarditis

warty growths on free edges of valve leaflets

Effects of mitral stenosis

impedence of flow leads to back up and LA dilation

Mitral regurg

usually due to LV dilation and inability of leaflets to close

Mitral valve prolapse

ballooning of the valve into the left ventricle, mid systolic click

aortic stenosis

calcification due to senile (age) or bicuspid valve (abnormal number)

endocarditis

inner layer of the heart infection/inflammation

nonbacterial thrombotic endocarditis

hypercoaguable states


aortic valve most normal

infective endocarditis

infection of the cardiac valves causing an adherent mass of fibrin inflammatory cells and bacteria

acute bacterial endocarditis

10-20% rapidly fatal


s. aureus or other virulent organisms


embolizations

subacute bacterial endocarditis

less virulent organisms (HACEK)


previously abnormal valves


slow, less severe

prosthetic valve issues

increased risk for endocarditis


failure