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23 Cards in this Set

  • Front
  • Back
Systemic Hypertension Defined
Systolic bllod pressure above 140 mmHG diastolic bp above 90 mmHg
Blood pressure
THe force exerted by the blood against any unit of teh vessel wall
White coat
Just nervous
Borderline HTN
Between 150/90 to 160/90
Mild HTN
Diastolic between 90 and 105 mmHg
Moderate HTN
Diastolic between 105 to 114 mmHg
Severe HTN
Diastolic between 115 and `29 mmHg
Malignant HTN
Diastolic > 120 mmHg Medical emergency
Dilated Cardiomyopathy
Characterizw by biatrial and biventicular dilation and ventricular systolic/diastolic dysfunction of unknown origin
Dilated cardiomyopathy
All four chambers must be dilated
Dilated Etiology
Idiopathic-familial-Alchohol drug abuse- Viral infection-Myocarditis-Postpartum-Chemotherapeutic agents(adriamccin)-Systemic HRN (long standing)- Sarcoidosis- CAD-AIDS
Dilated Symptoms
CHF-Dyspnea-OrthopnePulmonary edema-CP-Fatigue-Weakness-Dry nocturnal cough-Palpations-syncope- hypotensive-peripheral cyanosis-tachypnea
Dialted 2d evaluation findings
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%
Hypertropic Cardiomyopathy
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
ASH
Asymmetrc septal hypertrophy
IHSS
Idiopathic hypertrophic subaortic stenosis
HOCM
Hypertrophi obstructive obstructive cardiomyopathy
MSS
Muscular subaortic stenosis
AAH
Apical asymetric hypertrophy
Hypertrophic Etiology
Unknown
Long standing HTN
Familial
Hypertrophic Symptoms
Asymptomatic(without obstruction)
DOE, Orthopnea-most common symptom
syncope on excertion
CP
Palpations
hypertrophic 2d eval findings
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
Hypertrophic Treatent
Beta Blockers
Antiarrhyhthmics
Alcohol abalation
Septal Myectomy