Podcast
Questions and Answers
What is the initial stage of atherosclerosis?
What is the initial stage of atherosclerosis?
Which of the following is NOT a risk factor for stable angina?
Which of the following is NOT a risk factor for stable angina?
What is the immediate consequence of a ruptured plaque in atherosclerosis?
What is the immediate consequence of a ruptured plaque in atherosclerosis?
Which type of heart failure is characterized by an ejection fraction (EF) less than 40%?
Which type of heart failure is characterized by an ejection fraction (EF) less than 40%?
Signup and view all the answers
What does the term 'preload' refer to in the context of heart failure?
What does the term 'preload' refer to in the context of heart failure?
Signup and view all the answers
What is the main cause of right heart failure?
What is the main cause of right heart failure?
Signup and view all the answers
Which of the following is a long-term effect of a myocardial infarction (MI)?
Which of the following is a long-term effect of a myocardial infarction (MI)?
Signup and view all the answers
What is the primary function of the ejection fraction (EF) measurement?
What is the primary function of the ejection fraction (EF) measurement?
Signup and view all the answers
What is the main consequence of forward heart failure?
What is the main consequence of forward heart failure?
Signup and view all the answers
What is the most common type of heart failure?
What is the most common type of heart failure?
Signup and view all the answers
Which of the following symptoms are characteristic of restrictive cardiomyopathy?
Which of the following symptoms are characteristic of restrictive cardiomyopathy?
Signup and view all the answers
What is the primary characteristic of restrictive cardiomyopathy that differentiates it from other cardiomyopathies?
What is the primary characteristic of restrictive cardiomyopathy that differentiates it from other cardiomyopathies?
Signup and view all the answers
Which of the following conditions can lead to restrictive cardiomyopathy?
Which of the following conditions can lead to restrictive cardiomyopathy?
Signup and view all the answers
What is the typical range for ejection fraction in patients with restrictive cardiomyopathy?
What is the typical range for ejection fraction in patients with restrictive cardiomyopathy?
Signup and view all the answers
What is the most common dysrhythmia associated with restrictive cardiomyopathy?
What is the most common dysrhythmia associated with restrictive cardiomyopathy?
Signup and view all the answers
Which of the following is a potential complication that can develop due to restrictive cardiomyopathy?
Which of the following is a potential complication that can develop due to restrictive cardiomyopathy?
Signup and view all the answers
What is the primary difference between restrictive cardiomyopathy and dilated cardiomyopathy?
What is the primary difference between restrictive cardiomyopathy and dilated cardiomyopathy?
Signup and view all the answers
Which of the following is a potential clinical manifestation of peripartum cardiomyopathy (PPCM)?
Which of the following is a potential clinical manifestation of peripartum cardiomyopathy (PPCM)?
Signup and view all the answers
What is a potential laboratory test used to assess the severity of PPCM?
What is a potential laboratory test used to assess the severity of PPCM?
Signup and view all the answers
When does peripartum cardiomyopathy (PPCM) typically present?
When does peripartum cardiomyopathy (PPCM) typically present?
Signup and view all the answers
Which of the following is NOT a modifiable risk factor for Peripheral Arterial Disease (PAD)?
Which of the following is NOT a modifiable risk factor for Peripheral Arterial Disease (PAD)?
Signup and view all the answers
What is a common clinical manifestation of a thoracic aortic aneurysm?
What is a common clinical manifestation of a thoracic aortic aneurysm?
Signup and view all the answers
Which of the following is a characteristic difference between PAD and PVD?
Which of the following is a characteristic difference between PAD and PVD?
Signup and view all the answers
Which of the following is a clinical manifestation of rheumatic fever?
Which of the following is a clinical manifestation of rheumatic fever?
Signup and view all the answers
Which of the following is a potential consequence of PAD?
Which of the following is a potential consequence of PAD?
Signup and view all the answers
What is the most common cause of acquired valve dysfunction?
What is the most common cause of acquired valve dysfunction?
Signup and view all the answers
What is the primary symptom of aortic stenosis?
What is the primary symptom of aortic stenosis?
Signup and view all the answers
Which of the following is NOT a risk factor for an aortic aneurysm?
Which of the following is NOT a risk factor for an aortic aneurysm?
Signup and view all the answers
What is the most common location for an aortic aneurysm to occur?
What is the most common location for an aortic aneurysm to occur?
Signup and view all the answers
What is the most common consequence of untreated mitral stenosis?
What is the most common consequence of untreated mitral stenosis?
Signup and view all the answers
Which of the following clinical manifestations is most likely associated with a ruptured aortic aneurysm?
Which of the following clinical manifestations is most likely associated with a ruptured aortic aneurysm?
Signup and view all the answers
Which of the following is a clinical manifestation of aortic regurgitation?
Which of the following is a clinical manifestation of aortic regurgitation?
Signup and view all the answers
What is the primary cause of tricuspid valve regurgitation?
What is the primary cause of tricuspid valve regurgitation?
Signup and view all the answers
Which of the following is NOT a commonly used assessment tool for PAD?
Which of the following is NOT a commonly used assessment tool for PAD?
Signup and view all the answers
What is the definition of mitral valve prolapse?
What is the definition of mitral valve prolapse?
Signup and view all the answers
What is the most serious risk associated with an undiagnosed and untreated PAD?
What is the most serious risk associated with an undiagnosed and untreated PAD?
Signup and view all the answers
Which of the following is a non-modifiable risk factor for PAD?
Which of the following is a non-modifiable risk factor for PAD?
Signup and view all the answers
Which of the following causes can be attributed to mitral valve regurgitation? (Select all that apply)
Which of the following causes can be attributed to mitral valve regurgitation? (Select all that apply)
Signup and view all the answers
What condition is characterized by the inability of the leaflets to close properly during diastole, resulting in backflow from the left ventricle to the left atrium?
What condition is characterized by the inability of the leaflets to close properly during diastole, resulting in backflow from the left ventricle to the left atrium?
Signup and view all the answers
What are the clinical manifestations of mitral stenosis?
What are the clinical manifestations of mitral stenosis?
Signup and view all the answers
What is the main difference between aortic stenosis and aortic regurgitation?
What is the main difference between aortic stenosis and aortic regurgitation?
Signup and view all the answers
What is the main effect of valve regurgitation?
What is the main effect of valve regurgitation?
Signup and view all the answers
What is a common complication of mitral valve prolapse?
What is a common complication of mitral valve prolapse?
Signup and view all the answers
What is the most common cause of endocarditis?
What is the most common cause of endocarditis?
Signup and view all the answers
What is the most common type of valve stenosis?
What is the most common type of valve stenosis?
Signup and view all the answers
Regarding the clinical manifestation of valvular disorders, which of the following is associated with AORTIC regurgitation?
Regarding the clinical manifestation of valvular disorders, which of the following is associated with AORTIC regurgitation?
Signup and view all the answers
What is the primary concern regarding the higher incidence of PAD in Indigenous populations?
What is the primary concern regarding the higher incidence of PAD in Indigenous populations?
Signup and view all the answers
Which of the following symptoms is NOT typically associated with Peripheral Arterial Disease (PAD)?
Which of the following symptoms is NOT typically associated with Peripheral Arterial Disease (PAD)?
Signup and view all the answers
Which of the following statements is TRUE regarding PAD in Indigenous populations?
Which of the following statements is TRUE regarding PAD in Indigenous populations?
Signup and view all the answers
What is the main implication of a full head-to-toe assessment in evaluating PAD?
What is the main implication of a full head-to-toe assessment in evaluating PAD?
Signup and view all the answers
Which of these is NOT a characteristic symptom of Peripheral Arterial Disease (PAD)?
Which of these is NOT a characteristic symptom of Peripheral Arterial Disease (PAD)?
Signup and view all the answers
What is the primary reason for the higher incidence of PAD in Indigenous populations with diabetes?
What is the primary reason for the higher incidence of PAD in Indigenous populations with diabetes?
Signup and view all the answers
Which of the following is NOT a key point to remember when assessing patients with PAD?
Which of the following is NOT a key point to remember when assessing patients with PAD?
Signup and view all the answers
Why is it important to understand the physiological landmarks and anatomy related to various body systems when assessing PAD?
Why is it important to understand the physiological landmarks and anatomy related to various body systems when assessing PAD?
Signup and view all the answers
Which of the following is NOT a known risk factor for primary hypertension?
Which of the following is NOT a known risk factor for primary hypertension?
Signup and view all the answers
What are the main physiological changes that contribute to sustained blood pressure elevation in hypertension?
What are the main physiological changes that contribute to sustained blood pressure elevation in hypertension?
Signup and view all the answers
Identify the specific pathological process that characterizes secondary hypertension.
Identify the specific pathological process that characterizes secondary hypertension.
Signup and view all the answers
What is the most common vascular complication associated with complicated hypertension?
What is the most common vascular complication associated with complicated hypertension?
Signup and view all the answers
Which of the following is a characteristic feature of malignant hypertension?
Which of the following is a characteristic feature of malignant hypertension?
Signup and view all the answers
What is the primary distinction between primary and secondary hypertension in children and adolescents?
What is the primary distinction between primary and secondary hypertension in children and adolescents?
Signup and view all the answers
What are the clinical manifestations of hyperaldosteronism?
What are the clinical manifestations of hyperaldosteronism?
Signup and view all the answers
What is the primary cause of pheochromocytoma?
What is the primary cause of pheochromocytoma?
Signup and view all the answers
Which of the following is NOT a characteristic clinical manifestation of pheochromocytoma?
Which of the following is NOT a characteristic clinical manifestation of pheochromocytoma?
Signup and view all the answers
What is a defining feature of Metabolic Syndrome?
What is a defining feature of Metabolic Syndrome?
Signup and view all the answers
Which of the following is a known risk factor for Metabolic Syndrome?
Which of the following is a known risk factor for Metabolic Syndrome?
Signup and view all the answers
In patients with Post Myocardial Infarction, what is the main contributing factor to vascular complications?
In patients with Post Myocardial Infarction, what is the main contributing factor to vascular complications?
Signup and view all the answers
Which of the following factors does NOT directly contribute to the pathogenesis of Coronary Atherosclerosis?
Which of the following factors does NOT directly contribute to the pathogenesis of Coronary Atherosclerosis?
Signup and view all the answers
What is the primary pathological change underlying coronary atherosclerosis?
What is the primary pathological change underlying coronary atherosclerosis?
Signup and view all the answers
What is the significance of understanding the pathogenesis of coronary atherosclerosis?
What is the significance of understanding the pathogenesis of coronary atherosclerosis?
Signup and view all the answers
Flashcards
Fatty streaks
Fatty streaks
Initial lesions in arterial walls made of lipids that lead to atherosclerosis.
Macrophages in atherosclerosis
Macrophages in atherosclerosis
Immune cells that infiltrate the artery wall during inflammation, promoting plaque progression.
Ruptured plaque
Ruptured plaque
When an atherosclerotic plaque breaks apart, potentially causing a blood clot.
Thrombus formation
Thrombus formation
Signup and view all the flashcards
Myocardial Infarction (MI)
Myocardial Infarction (MI)
Signup and view all the flashcards
Ejection Fraction (EF)
Ejection Fraction (EF)
Signup and view all the flashcards
Heart Failure (HF)
Heart Failure (HF)
Signup and view all the flashcards
Preload
Preload
Signup and view all the flashcards
Afterload
Afterload
Signup and view all the flashcards
Cardiogenic Shock
Cardiogenic Shock
Signup and view all the flashcards
Peripheral Arterial Disease (PAD)
Peripheral Arterial Disease (PAD)
Signup and view all the flashcards
Symptoms of PAD
Symptoms of PAD
Signup and view all the flashcards
Risk factors for PAD
Risk factors for PAD
Signup and view all the flashcards
Indigenous populations and PAD
Indigenous populations and PAD
Signup and view all the flashcards
Diabetes and PAD
Diabetes and PAD
Signup and view all the flashcards
Symptoms of neuropathy
Symptoms of neuropathy
Signup and view all the flashcards
Importance of assessment
Importance of assessment
Signup and view all the flashcards
Impact of lifestyle on PAD
Impact of lifestyle on PAD
Signup and view all the flashcards
Primary Hypertension
Primary Hypertension
Signup and view all the flashcards
Cardiac Output (CO)
Cardiac Output (CO)
Signup and view all the flashcards
Risk Factors for Hypertension
Risk Factors for Hypertension
Signup and view all the flashcards
Secondary Hypertension
Secondary Hypertension
Signup and view all the flashcards
Complicated Hypertension
Complicated Hypertension
Signup and view all the flashcards
Malignant Hypertension
Malignant Hypertension
Signup and view all the flashcards
Endocrine Hypertension
Endocrine Hypertension
Signup and view all the flashcards
Hyperaldosteronism
Hyperaldosteronism
Signup and view all the flashcards
Pheochromocytoma
Pheochromocytoma
Signup and view all the flashcards
Metabolic Syndrome
Metabolic Syndrome
Signup and view all the flashcards
Insulin Resistance
Insulin Resistance
Signup and view all the flashcards
Hypertrophy
Hypertrophy
Signup and view all the flashcards
Atherosclerosis
Atherosclerosis
Signup and view all the flashcards
Prehypertension
Prehypertension
Signup and view all the flashcards
Diastolic Blood Pressure
Diastolic Blood Pressure
Signup and view all the flashcards
Restrictive Cardiomyopathy
Restrictive Cardiomyopathy
Signup and view all the flashcards
Symptoms of Restrictive Cardiomyopathy
Symptoms of Restrictive Cardiomyopathy
Signup and view all the flashcards
Ejection Fraction in Restrictive Cardiomyopathy
Ejection Fraction in Restrictive Cardiomyopathy
Signup and view all the flashcards
Contractility in Restrictive Cardiomyopathy
Contractility in Restrictive Cardiomyopathy
Signup and view all the flashcards
Heart Failure in Pregnancy
Heart Failure in Pregnancy
Signup and view all the flashcards
Symptoms of Peripartum Cardiomyopathy
Symptoms of Peripartum Cardiomyopathy
Signup and view all the flashcards
Ejection Fraction in PPCM
Ejection Fraction in PPCM
Signup and view all the flashcards
Lab Tests for PPCM
Lab Tests for PPCM
Signup and view all the flashcards
Valve Dysfunction Types
Valve Dysfunction Types
Signup and view all the flashcards
Right Sided Heart Failure Symptoms
Right Sided Heart Failure Symptoms
Signup and view all the flashcards
Aortic Rupture
Aortic Rupture
Signup and view all the flashcards
Risk Factors for Aortic Rupture
Risk Factors for Aortic Rupture
Signup and view all the flashcards
Thoracic Aortic Symptoms
Thoracic Aortic Symptoms
Signup and view all the flashcards
Modifiable Risk Factors for PAD
Modifiable Risk Factors for PAD
Signup and view all the flashcards
Non-Modifiable Risk Factors for PAD
Non-Modifiable Risk Factors for PAD
Signup and view all the flashcards
Assessment Focus for PAD
Assessment Focus for PAD
Signup and view all the flashcards
PAD vs PVD
PAD vs PVD
Signup and view all the flashcards
Symptoms of Peripheral Arterial Disease
Symptoms of Peripheral Arterial Disease
Signup and view all the flashcards
Complications of PAD
Complications of PAD
Signup and view all the flashcards
Valve Dysfunction
Valve Dysfunction
Signup and view all the flashcards
Acquired Valve Dysfunction
Acquired Valve Dysfunction
Signup and view all the flashcards
Rheumatic Heart Disease (RHD)
Rheumatic Heart Disease (RHD)
Signup and view all the flashcards
Clinical Manifestations of Rheumatic Fever
Clinical Manifestations of Rheumatic Fever
Signup and view all the flashcards
Endocarditis
Endocarditis
Signup and view all the flashcards
Symptoms of Endocarditis
Symptoms of Endocarditis
Signup and view all the flashcards
Valve Stenosis
Valve Stenosis
Signup and view all the flashcards
Aortic Stenosis Symptoms
Aortic Stenosis Symptoms
Signup and view all the flashcards
Mitral Stenosis Effects
Mitral Stenosis Effects
Signup and view all the flashcards
Valve Regurgitation
Valve Regurgitation
Signup and view all the flashcards
Causes of Regurgitation
Causes of Regurgitation
Signup and view all the flashcards
Clinical Manifestations of Aortic Regurgitation
Clinical Manifestations of Aortic Regurgitation
Signup and view all the flashcards
Mitral Valve Prolapse
Mitral Valve Prolapse
Signup and view all the flashcards
Mitral Regurgitation Complications
Mitral Regurgitation Complications
Signup and view all the flashcards
Study Notes
Chronic Cardiovascular Conditions
- Presented by Sarah Nixon, MN RN
- Developed by Megan Keszler, BA BN, GradCertEd CNCC(C)
- Includes adapted slides by Kara Sealock, EdD MEd BN RN, CNCC (C), CCNE & Leah Tellier RN, MN, CCNE, CHSE
Topics and Objectives
- Age-related cardiovascular changes
- Hypertension (HTN): including types—complicated HTN, pediatric HTN, endocrine HTN
- Metabolic syndrome
- Long-term effects of myocardial infarction (MI)
- Chronic heart failure
- Cardiomyopathies
- Valve dysfunction
- Acute versus chronic pericarditis
- Peripheral Arterial Disease (PAD)
Age-Related Cardiovascular Changes
- Collagen, elastin, and calcification increase
- Wall thickening and arterial stiffening occur
- Endothelial dysfunction may also promote vasoconstriction, increasing the risk of cardiovascular disease
- Systolic and pulse blood pressure rise
- Left ventricular wall thickness increases
- Early diastolic filling is reduced
Age-Related Changes to Cardiovascular Function (Continued)
- Cardiac reserve declines
- Heart rate and rhythm abnormalities
- Prolonged cardiac action potential
- Compromised maintenance of extracellular fluid volume and composition
- Aging increases the risk of hypertension, which is not a normal part of the aging process
Increased Wall Thickening and Arterial Stiffening
- Endothelial dysfunction is a factor
- Lead to elevated systolic pressure, reduced cardiac reserve & capacity
- Affects myocardial relaxation and reduced early diastolic filling
Hypertension (HTN)
- Sustained systolic pressure above 140 mmHg or diastolic pressure above 90 mmHg
- Associated with elevated risk of target organ damage (e.g., MI, kidney disease, stroke)
Primary Hypertension
- CO = HR X SV
- Increased CO
- Increased HR
- Increased SV
- Increased blood viscosity
- Increased peripheral vascular resistance
- Decreased vessel diameter
- Preload, afterload, contractility
Risk Factors for Hypertension
- Family history
- Advancing age
- Cigarette smoking
- Obesity
- Heavy alcohol consumption
- Gender
- African or Indigenous decent
- Increased dietary sodium intake
- Decreased dietary intake of potassium, magnesium, and calcium
- Socioeconomic status change related to immigration
- Glucose intolerance
Hypertension in the Indigenous Population
- Statistically, First Nations, Inuit, and Métis people have higher rates of:
- High blood pressure
- Type 2 diabetes
- Smoking
- Childhood obesity
- Heart disease and stroke rates are significantly higher compared to the general population
- Poorer health outcomes in Indigenous communities are linked to health inequities
Pathophysiology of Hypertension
- Sympathetic nervous system (SNS) changes
- Renin-angiotensin-aldosterone system (RAAS)
- Pressure natriuresis relationship
- Inflammation (endothelial injury and tissue ischemia)
- Obesity
- Insulin resistance
- Genetics and environmental factors
Secondary Hypertension
- Caused by an underlying disease process or medication
- Caused by renal disorders, endocrine disorders, vascular disorders, pregnancy-induced hypertension (PIH), neurological disorders, acute stress, and drugs.
Complicated Hypertension
- Primary hypertension develops into complicated hypertension
- Leads to damage to the aorta, small arteries, the heart, kidneys, retina, and central nervous system (CNS)
- Leads to various cardiovascular complications
Cardiovascular Complications in Complicated Hypertension
- Left ventricular hypertrophy
- Coronary artery disease (CAD)
- Angina pectoris
- Myocardial infarction (MI)
- Congestive heart failure (CHF)
- Sudden death
Vascular Complications in Complicated Hypertension
- Formation, dissection, and rupture of aneurysms
- Intermittent claudication
- Vessel occlusion resulting in gangrene
- Deep diffuse chest pain, dysphagia, distended neck veins, edema of the head and arms, and dysrhythmias (irregular heartbeat)
Renal Complications in Complicated Hypertension
- Parenchymal damage
- Nephrosclerosis
- Renal arteriosclerosis
- Renal insufficiency or failure
- Microalbuminuria
Retinal Complications in Complicated Hypertension
- Vascular sclerosis
- Exudation
- Hemorrhage
Malignant Hypertension (Hypertension Emergency)
- Linked to the dysfunction of renin and angiotensin
- Causes encephalopathy due to high arterial pressure
- Leads to papilledema, cardiac failure, uremia, retinopathy, and stroke
- Needs immediate treatment with vasodilators to lower blood pressure
Hypertension in Pediatric and Adolescent Populations
- Divided into essential (no identifiable cause) and secondary (subsequent to an identifiable cause) types of hypertension
- Stage I and II hypertension defined by specific thresholds of blood pressure measurements relative to age and gender percentiles
Etiology of Hypertension in Children and Adolescents
- Occurs secondary to a structural abnormality of underlying pathological processes
- Often determined by genetic and environmental factors
- The most common cause of secondary hypertension is renal disease, then cardiovascular, endocrine, and some neurological disorders
- Younger children, and more severe hypertension, is more likely to be secondary
Clinical Manifestations of Hypertension in Children and Adolescents
- Routine assessment is crucial for early detection in adolescents and children
- Family history of hypertension or related conditions should be considered
- Children with heart disease (CHD), kidney disease, malignancy, or other conditions are also at risk
- Frequent headaches, irritability, head banging or head rubbing, dizziness, changes in vision and waking up screaming during the night are clinical manifestations in children and adolescents
Endocrine Hypertension: Hyperaldosteronism
- Primary hyperaldosteronism results from overproduction of aldosterone, most often due to adrenocortical neoplasm, bilateral idiopathic or familial cases.
- Secondary hyperaldosteronism arises from decreased renal perfusion, often in cases of arterial hypovolemia and edema, or pregnancy.
Endocrine Hypertension: Pheochromocytoma
- Adrenomedullary hyperfunction due to tumors known as pheochromocytoma
- Tumors produce excess norepinephrine
- Characterized by clinical manifestations such as hypermetabolism-related symptoms (diaphoresis), severe pounding headaches, glucose intolerance, heat intolerance, weight loss, and constipation, unexplained abdominal or chest pain lasting from minutes to hours, tachycardia with palpitations.
Metabolic Syndrome
- Also called insulin resistance syndrome or syndrome X
- Clustering of clinical traits accelerating cardiovascular disease and type 2 diabetes mellitus
- Must have 3 of 5 traits: Increased waist circumference, elevated triglycerides, reduced HDL, elevated blood pressure, and elevated fasting glucose levels
Post-Myocardial Infarction
- Assessment and monitoring of heart rhythms and associated symptoms, as well as medication responses, following myocardial infarction.
Coronary Atherosclerosis (Review)
- Abnormal accumulation of lipids or fatty substances and fibrous tissue in arterial blood vessel walls
- Pathophysiology involves fatty streak initiation, lesion progression, inflammatory effects, macrophage infiltration, and plaque rupture leading to thrombosis and potentially myocardial infarction (MI)
Angina (Review)
- Stable, unstable, and variant angina
- Associated risk factors
- Long-term effects on the body post-MI, including dysrhythmias, heart failure, cardiogenic shock, pericarditis, and ventricular aneurysm.
Heart Failure Basics
- Heart is unable to generate adequate cardiac output due to various conditions like preload, afterload, contractility. Heart failure results in tissue perfusion impairment, increased pulmonary capillary pressures and LV diastolic filling pressures.
- Risk factors for left and right heart failure.
- Assessment and diagnosis methods, such as echocardiogram, CT, or cardiac nuclear medicine scan.
Assessment Findings of Left Heart Failure
- Level of consciousness, dizziness, lightheadedness
- Poor color, poor pulse strength, tachycardia, presence of S3, S4, delayed capillary refill.
- Chest sounds: crackles, tachypnea, shortness of breath, persistent wet cough.
- Gastrointestinal, renal, and musculoskeletal assessments
Right Heart Failure (Cor Pulmonale)
- Similar symptoms to left-sided heart failure, affecting the right ventricle.
- Right ventricularheaves, jugular venous distension, right upper quadrant pain (hepatomegaly), anorexia, nausea, abdominal bloating, and ascites.
Cardiac Asthma
- Medical emergency requiring immediate attention
- Presents with pulmonary edema, wheezing, coughing, and orthopnea (difficulty breathing while sitting or standing)
- Diagnosis is facilitated by listening to lower lobes for crackles and upper lobes for wheezing, combined with the evaluation of other heart failure symptoms.
Cardiomyopathy
- Dilated, hypertrophic, and restrictive types
- Results from structural abnormalities and/or effects of neurohormonal responses to ischemic heart disease, hypertension, or other conditions.
Valve Dysfunction
- Aortic, mitral, tricuspid, and pulmonary valves, and their associated dysfunction
- Regurgitation and stenosis
- Acquired and congenital
- Causes and consequences of valve dysfunction
Acute vs Chronic Pericarditis
- Etiology, including viral or bacterial infections, trauma, surgery, radiation therapy, autoimmune diseases.
Constrictive Pericarditis
- Chronic inflammation, encasing the heart in a rigid shell, reducing cardiac output, leading to gradually developing symptoms.
Aneurysms
- Atherosclerosis is the most common cause of arterial aneurysms
- Aneurysms can result in complications like dissection, rupture, and hemorrhage
Peripheral Arterial Disease (PAD)
- Atherosclerosis-related narrowing of peripheral arteries
- Associated with modifiable and non-modifiable risk factors, such as smoking, physical inactivity, diet high in fats and cholesterol, obesity, diabetes mellitus, hyperlipidemia, family history, advanced age, kidney disease, and hypertension
- Assessment of patients include evaluation for symptoms, such as, leg pain, numbness or weakness, coldness in the foot or legs, open sores that won't, heal changes in leg color or texture, or temperature etc.
- PAD can lead to serious outcomes such as complications causing cardiovascular death, stroke, myocardial infarction (MI) and limb ischemia or amputation
Indigenous Populations and PAD
- Higher incidence of PAD in Indigenous peoples associated with diabetes and other complications
- PAD occurs more frequently in Indigenous populations with diabetes compared to non-Indigenous populations.
Heart Failure in Pregnancy: Peripartum Cardiomyopathy (PPCM)
- Difficult to diagnose
- Symptoms, such as fatigue, palpitations, dyspnea, nocturia (frequent urination at night), orthopnea (difficulty breathing while sitting or lying down), swelling (edema) in feet & legs or ankles and shortness of breath
- Diagnositc tools and tests, like CBC, electrolyte panel, kidney or liver function tests or BNP
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Related Documents
Description
Test your knowledge on key concepts in cardiology, focusing on atherosclerosis and heart failure. This quiz covers topics such as risk factors, ejection fraction, and different types of heart failure. Ideal for medical students or anyone interested in cardiovascular health.