Cv System - Ischemic Heart Disease (Im)

Front 1

Ischemic heart disease (tokubo)

Back 1

Ischemic heart disease (tokubo)

Front 2

Understand the pathophysiology of ischemic heart disease

Back 2

1

Front 3

Identify risk factors

Back 3

2

Front 4

Learn how to best modify risk factors

Back 4

3

Front 5

Recognize clinical signs and symptoms of ischemia

Back 5

4

Front 6

Be able to initiate appropriate treatment decisions

Back 6

5

Front 7

What are the signs and symptoms of heart disease?

Back 7

- Chest pain or pressure (often reported as dullness or an aching or squeezing sensation)
- Radiation of pain to jaw, neck, back or arms
- Feel sweaty or clammy
- Nausea
- Dyspnea
- Dizziness (feels like they are passing out)
- Heartburn or epigastric pain
- Any symptom that is identical to a complaint during a previous proven cardiac event!

Front 8

What signs and symptoms are less likely to be cardiac related?

Back 8

- Dizziness (room spinning)
- Peri oral numbness
- Pain radiating into the legs
- Tingling in the fingers and face
- Sharp stabbing pain with inspiration
- Pain reproduced with palpation or position
- Rating of cardiac pain on 1-10 scale
(often panic attacks can mimic a heart attack)

Front 9

What physical signs are indicative of heart conditions?

Back 9

- Diaphoretic
- Clenching chest (Levine sign)
- Rales on lung auscultation
- New heart murmurs
- S3 Gallop (Floppy Heart)
- Jugular Venous Distention
- Peripheral Edema
- Pulsus alternans
- Hypotension and tachycardia

Front 10

What is Levine sign?

Back 10

Clenching chest

Front 11

What is a tender liver a sign of?

Back 11

right sided heart failure, the blood backs up into the liver

Front 12

What are the cardiac risk factors?

Back 12

- Age
Male > 45 or Female > 55 or premature menopause or hormone replacement therapy
- Family History
Before age 55 in father or 1st degree male relative or before age 65 in mother or 1st degree female relative
- Tobacco abuse
More so the more current
- Hypertension
- Hyperlipidemia
- Diabetes Mellitus
- Obesity

Front 13

Does folic acid, vitamin E, and antioxidents help with cardiovascular disease?

Back 13

- folic acid lowers the homocyctine levels (but this does not really help)
- there have been shown to not help

Front 14

levels of what correspond to increased incidence of ischemic heart disease?

Back 14

increased inflammation and increased levels of homocystine
increased crp

Front 15

most risk factors for ischemic heart disease is amplified by what?

Back 15

oxidized LDL cholesterol