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27 Cards in this Set

  • Front
  • Back
what is Arteriosclerosis?
Chronic disease of the arterial system
Abnormal thickening and hardening of the vessel walls
Smooth muscle cells and collagen fibers migrate to the tunica intima
what is Atherosclerosis
Form of arteriosclerosis
Thickening and hardening is caused by accumulation of lipid-laden macrophages in the arterial wall
Plaque development
How does Atherosclerosis progress?
Progression
Inflammation of endothelium
Cellular proliferation
Macrophage migration
LDL oxidation (foam cell formation)
Fatty streak
Fibrous plaque
Complicated plaque
What Is primary hypertension?
Essential or idiopathic hypertension
Genetic and environmental factors
Affects 90% to 95% of individuals with hypertension
What is secondary Hypertension?
Caused by a systemic disease process that raises peripheral vascular resistance or cardiac output
What is Isolated systolic hypertension
Elevations of systolic pressure are caused by increases in cardiac output, total peripheral vascular resistance, or both
What is Complicated hypertension?
Chronic hypertensive damage to the walls of systemic blood vessels
Smooth muscle cells undergo hypertrophy and hyperplasia with fibrosis of the tunica intima and media
What is Malignant Hypertension
Rapidly progressive hypertension
Diastolic pressure is usually >140 mm Hg
What is Coronary Artery disease?
What is the Major cause of CAD?
Any vascular disorder that narrows or occludes the coronary arteries
Atherosclerosis is the most common cause of CAD
What are the risk factors of Coronary Artery Disease?
Dyslipidemia
Hypertension
Cigarette smoking
Diabetes mellitus
Obesity/sedentary lifestyle
What are the non-traditional risk factors of Coronary Artery Disease
Markers of inflammation and thrombosis
C-reactive protein, fibrinogen, protein C, and plasminogen activator inhibitor
Hyperhomocysteinemia
Infection
What is myocardial ischemia?
A type of CAD in which Local, temporary deprivation of the coronary blood supply
Stable angina
Prinzmetal angina
Silent ischemia
Angina pectoris
What are examples of Acute coronary syndromes?
Transient ischemia
Unstable angina
Sustained ischemia
Myocardial infarction
Myocardial inflammation and necrosis
What is Myocardial Infarction?
Sudden and extended obstruction of the myocardial blood supply
Subendocardial infarction
Transmural infarction
What stages of the myocardial infarction?
Cellular injury
Cellular death
Structural and functional changes
Myocardial stunning
Hibernating myocardium
Myocardial remodeling
Repair
What is the disorders of the pericardium? (Disorders of the heart wave?)
Acute pericarditis
Pericardial effusion
Tamponade
Constrictive pericarditis
What are disorders of the Endocardium?
Valvular dysfunction
Valvular stenosis
Aortic stenosis
Mitral stenosis
Valvular regurgitation
Aortic regurgitation
Mitral regurgitation
Tricuspid regurgitation
Mitral valve prolapse syndrome
What is Infective Endocarditis?
Inflammation of the endocardium
What are the agents of Infective Endocarditis?
Bacteria, viruses, fungi, rickettsiae, and parasites
What are the pathogenesis of Infective Endocarditis?
Prepared” endocardium
Blood-borne microorganism adherence
Proliferation of the microorganism
What are the cardiac complications of AIDS
Myocarditis
Endocarditis
Pericarditis
Cardiomyopathy
What is heart failure?
General term used to describe several types of cardiac dysfunction that result in inadequate perfusion of tissues with blood-borne nutrients
What is systolic heart failure?
Inability of the heart to generate adequate cardiac output to perfuse tissues
What is diastolic heart failure?
Pulmonary congestion despite normal stroke volume and cardiac output
Describe is right heart failure
Most commonly caused by a diffuse hypoxic pulmonary disease
Can result from an increase in left ventricular filling pressure that is reflected back into the pulmonary circulation
Describe High-output failure
Inability of the heart to supply the body with blood-borne nutrients, despite adequate blood volume and normal or elevated myocardial contractility: Anemia, Septicemia,
Hypethyroidism.
Describe Dysrhythmias
Disturbance of the heart rhythm
Range from occasional “missed” or rapid beats to severe disturbances that affect the pumping ability of the heart
Can be caused by an abnormal rate of impulse generation or abnormal impulse conduction
Examples:
Tachycardia, flutter, fibrillation, bradycardia, premature ventricular contractions (PVCs), premature atrial contractions (PACs), asystole