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23 Cards in this Set
- Front
- Back
Systemic Hypertension Defined
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Systolic bllod pressure above 140 mmHG diastolic bp above 90 mmHg
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Blood pressure
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THe force exerted by the blood against any unit of teh vessel wall
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White coat
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Just nervous
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Borderline HTN
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Between 150/90 to 160/90
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Mild HTN
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Diastolic between 90 and 105 mmHg
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Moderate HTN
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Diastolic between 105 to 114 mmHg
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Severe HTN
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Diastolic between 115 and `29 mmHg
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Malignant HTN
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Diastolic > 120 mmHg Medical emergency
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Dilated Cardiomyopathy
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Characterizw by biatrial and biventicular dilation and ventricular systolic/diastolic dysfunction of unknown origin
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Dilated cardiomyopathy
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All four chambers must be dilated
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Dilated Etiology
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Idiopathic-familial-Alchohol drug abuse- Viral infection-Myocarditis-Postpartum-Chemotherapeutic agents(adriamccin)-Systemic HRN (long standing)- Sarcoidosis- CAD-AIDS
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Dilated Symptoms
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CHF-Dyspnea-OrthopnePulmonary edema-CP-Fatigue-Weakness-Dry nocturnal cough-Palpations-syncope- hypotensive-peripheral cyanosis-tachypnea
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Dialted 2d evaluation findings
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Four chamber dilatation
Decreased global LV sys and diastolic fx Increased LV Volumes Eccentric LVH PE usually smalll B-hump pn MV Thrombus in LV 75% Mild thickening MV MR 100% TR 90% PR 50% AR 20% |
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Hypertropic Cardiomyopathy
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An idiopathic asymmetric hypertropy of the heart, with the greatest affinity for the septum, It can be obstructive or unobstructive. Presents with a hypertrophic, hyperdynamic, and non-dilated left ventricle
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ASH
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Asymmetrc septal hypertrophy
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IHSS
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Idiopathic hypertrophic subaortic stenosis
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HOCM
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Hypertrophi obstructive obstructive cardiomyopathy
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MSS
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Muscular subaortic stenosis
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AAH
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Apical asymetric hypertrophy
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Hypertrophic Etiology
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Unknown
Long standing HTN Familial |
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Hypertrophic Symptoms
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Asymptomatic(without obstruction)
DOE, Orthopnea-most common symptom syncope on excertion CP Palpations |
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hypertrophic 2d eval findings
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ASH with hypokinis of IVS w/ normal to small LV cavity
SAm on Mitral valve Elongated thick MVl Speckled or ground glass appearance of IVS Determine the site of obstruction |
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Hypertrophic Treatent
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Beta Blockers
Antiarrhyhthmics Alcohol abalation Septal Myectomy |