Cardiac Output and Endocarditis Overview
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Questions and Answers

Which symptom is NOT associated with endocarditis?

  • Shortness of breath
  • Blood in urine
  • Chest pain (correct)
  • Fatigue
  • What is a consequence of right-sided heart failure?

  • Decreased cardiac output
  • Pulmonary congestion
  • Edema in extremities (correct)
  • Increased heart rate
  • Which condition is primarily caused by the accumulation of LDL in the coronary arteries?

  • Myocardial Infarction
  • Dilated cardiomyopathy
  • Atherosclerosis (correct)
  • Congestive Heart Failure
  • During which stage of myocardial infarction is necrosis of the myocardium most likely to occur?

    <p>Following ischemia</p> Signup and view all the answers

    What happens to the myocardium after a myocardial infarction?

    <p>Formation of scar tissue</p> Signup and view all the answers

    Which intervention is NOT typically a treatment option for atherosclerosis?

    <p>Cardiac pacing</p> Signup and view all the answers

    What physiological change is observed with age that affects the heart?

    <p>Thickening of valve flaps</p> Signup and view all the answers

    Which condition is characterized by the decline in cardiac reserve?

    <p>Congestive Heart Failure</p> Signup and view all the answers

    What symptom would likely indicate the need for medical evaluation in a patient with suspected heart issues?

    <p>Night sweats at rest</p> Signup and view all the answers

    In which scenario would an increased blood pressure in the aorta contribute to heart failure?

    <p>Due to coronary atherosclerosis</p> Signup and view all the answers

    What is a primary cause of endocarditis?

    <p>Bacteria entering the bloodstream</p> Signup and view all the answers

    Which of the following can introduce bacteria into the bloodstream leading to endocarditis?

    <p>Dental or medical procedures</p> Signup and view all the answers

    What condition is most likely to lead to the development of endocarditis?

    <p>Damaged heart valves</p> Signup and view all the answers

    Why do bacteria tend to settle on the heart valves in endocarditis?

    <p>Damaged tissue offers a rough surface for attachment</p> Signup and view all the answers

    What role does the immune system generally play with respect to bacteria in the bloodstream?

    <p>It typically destroys bacteria</p> Signup and view all the answers

    Which of these is NOT typically a means by which microorganisms can enter the bloodstream?

    <p>Regular physical activities</p> Signup and view all the answers

    What is one reason why microorganisms may not always cause an infection after entering the bloodstream?

    <p>The immune system eliminates them effectively</p> Signup and view all the answers

    What type of microorganisms can cause endocarditis?

    <p>Bacteria, fungi, and viruses</p> Signup and view all the answers

    How might bacteria gain entry into the bloodstream through common activities?

    <p>Performing dental cleanings</p> Signup and view all the answers

    Which structure provides a suitable environment for bacteria to attach in cases of endocarditis?

    <p>Damaged endocardium</p> Signup and view all the answers

    Study Notes

    Factors Affecting Cardiac Output

    • Cardiac output is regulated by various factors.

    Endocarditis

    • Endocarditis arises when microorganisms enter the bloodstream and lodge on abnormal heart valves or damaged heart tissue.
    • Bacteria are the most common cause, but fungi, viruses, or other microorganisms can also trigger the condition.
    • Endocarditis often occurs in individuals with pre-existing heart valve diseases or damaged heart tissues, creating a rough surface for bacteria to adhere and multiply.

    Endocarditis Symptoms

    • Common symptoms include fever, chills, weakness, fatigue, joint and muscle aches, night sweats, shortness of breath, paleness and weight loss.
    • Other symptoms include unexplained swelling in the feet, legs, or abdomen, blood in the urine, a new heart murmur, and tenderness in the spleen.
    • Age-related changes in the heart include:
      • Sclerosis and thickening of valve flaps
      • Decline in cardiac reserve
      • Fibrosis of cardiac muscle
      • Atherosclerosis

    Congestive Heart Failure

    • Congestive heart failure (CHF) can be caused by various factors:
      • Coronary atherosclerosis
      • Increased blood pressure in the aorta
      • Successive myocardial infarcts
      • Dilated cardiomyopathy (DCM)

    Congestive Heart Failure - Right Side Failure

    • Right-sided heart failure leads to peripheral congestion as blood cannot return from the body to the right atrium, causing edema in the extremities.
    • Over time, the strain on the healthy side of the heart weakens the myocardium, eventually requiring a heart transplant.
    • Treatments focus on lowering blood volume, reducing exertion, and lowering blood pressure.

    Atherosclerosis (CAD)

    • Atherosclerosis is caused by the blockage of coronary arteries due to the deposition of LDL (low-density lipoprotein) following tissue insult to the tunica interna.
    • Treatment options for stenosis include balloon angioplasty, stent insertion, and coronary bypass surgery.

    Myocardial Infarction

    • Ischemia (blood restriction) is caused by stenosis resulting from atherosclerosis.
    • Angina pectoris (chest pain) can be an indicator of a transient ischemic attack (TIA).
    • Myocardial infarction (MI) involves the death of heart muscle tissue due to prolonged ischemia caused by stenosis.
    • Myocardial tissue is amitotic and cannot repair itself; instead, scar tissue forms.
    • The severity of an MI depends on the location and extent of damage.
    • Treatment includes addressing stenosis, using vasodilators, beta-blockers, and, in severe cases, heart transplant or a left ventricular assist device (LVAD).

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    L23 - Cardiovascular System PDF

    Description

    This quiz explores the factors affecting cardiac output, including age-related changes in the heart and the implications of endocarditis. Discover how microorganisms contribute to heart valve issues and the common symptoms associated with this condition. Test your knowledge on the human heart's functionality and diseases that compromise its health.

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