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47 Cards in this Set

  • Front
  • Back
What does the cardiovascular system consist of?
The heart, arteries, and veins.
How does blood travel?
Blood travels from the right ventricle to the lungs, then from the lungs to the left atrium, then to the left ventricle, then to the rest of the body.
What do the arteries do?
They carry oxygenated blood branch into vessels of smaller and smaller diameter, called aterioles, and finally, terminate in tiny capillaries that connect arteries and veins.
What does the term cardiovascular disease include?
Coronary artery disease, coronary heart disease, and stroke.
What do the coronary arteries do?
They supply blood to the heart, muscle, and the myocardium.
What is the aorta and what does it do?
It is the main artery that carries oxygenated blood from the heart.
What are the two ways that arteries can receive damage?
Scar tissue, and atheromatous plaques.
What is atherosclerosis?
The formation of plaques and the resulting occlusion of arteries.
What is Arterioclerosis?
Loss of elasticity of the arteries.
What is Ischemia?
Restriction of blood flow to the heart.
What is Coronary heart disease?
Refers to any damage to the myocardium as a result of insufficient blood supply.
What are some symptoms of heart attack?
Weakness, dizziness, nausea, cold sweats, difficulty breathing, squeezing pain in the chest, or arms, shoulders, jaws or back.
What happens to the heart after a heart attack?
After a heart attack, scar tissue forms but the muscle does not repair itself or regrow itself.
What is angina pectoris?
A less serious result of restriction of blood supply to the heart muscle.
What is a stroke?
Damage to the brain resulting from lack of oxygen.-- Can be caused by atherosclerosis and arteriosclerosis.( which cause obstructions to the arteries of the brain.), or by infections, blood clots or air bubbles.
What happens when the brain is deprived of oxygen?
Deprivation causes death of brain tissue in 3-5 minutes.
How does the brain continue functioning after a stroke?
Neurons damaged from strokes can't repair themselves, but other neurons can help compensate and regain function.
What percentage of all deaths are due to heart disease and strokes?
30%
What is systolic pressure?
The presssure generated by the heart's contraction.
What is diastolic pressure?
The pressure experienced between contractions, reflecting the elasticity of the vessel walls.
What is essential hypertension?
Refers to a chronic elevation of blood pressure, which has both genetic and environmental causes.
What is secondary hypertension?
High blood pressure that stems from other diseases such as kidney disorders and some disorders of the endocrine system.
What are some reasons that death rates from CVD have declined?
Better coronary care and lifestyle changes
What are some risk factors of CVD?
Age, diabetes, family history, gender, ethnic background, phobic anxiety, marital status, employment, hostility, anger, etc.
What is manditory of all cardiac patients?
They must be screened for depression
What is the prevalence of depression in the general population?
Men-6%
Women-18%
What is the prevalence of depression in cardiac patients?
25-50%
Which cardiac patients have the highest risks of depression?
CABG and CHF patients.
What percentage of cardiac patients are DIAGNOSED with depression?
Fewer than 25%
How many of cardiac patients diagnosed with depression recieve treatment?
About 1/2.
What is Circumstantial depression?
Reactive- Situational stress or loss
What is melancholy depression?
Existential blues- personality style
What is habitual depression?
Learned depression- environmental
What is chemical depression?
Chemical imbalance- biological
What are some ways to diagnose depression?
Self report measures, clinical interviews, psychological instruments (MMPI)
What are some ways to treat depression?
Medicine, counseling and psychotherapy, and excercise.
Tricyclics?
Contraindicated in patiets with ischemicheart disease.

Elavil, pamelor, tofranil
MAOIs?
Only recommended for depression refractory to other medications.

nardil, parnate
SSRIs?
Appear safest, but some concerns do exist relative to inhibition of cytochrome

celexa, zoloft, lexapro, luvox, prozac, paxil
SNRIs?
Hypertension risks. Discontinuation effects.

Effexor, cymbalta, pritiq
Atypicals?
Promising other than serzone

wellbutrin, desyryl, buspar
What does cognitive behavioral therapy do?
Improves awareness of thoughts, feelings, and behaviors, increase positive experiences and allow for new ways of coping.
What does interpersonal psychotherapy do?
Improves understanding of and options for coping with relationships.
What does interpersonal psychotherapy do?
Improves understanding of and options for coping with relationships.
What does existential psychotherapy do?
Aids in the development of new lifestyle or new meaning and purpose for life.
What does family or couple therapy do?
Directly works together to improve or resolve relationships.
What are some common factors of all psychotherapy?
Support, reflection, respect, catharsis, hope