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Questions and Answers
What percentage of total deaths is attributed to pneumonia?
Which condition is associated with damage to the phrenic nerve?
What was the total number of deaths caused by coronary heart disease in 2022?
Which of the following pulmonary diseases has the lowest death percentage?
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How frequently does a person die from cardiovascular disease?
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What contributes to the accumulation of LDL in blood vessels?
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Which condition is NOT mentioned as a risk factor for myocardial infarction (MI)?
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How does obesity primarily affect lipid levels?
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What physiological changes occur due to stress?
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Which symptom is associated with acute left heart failure?
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What role does fever play in cardiac events?
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Which of the following is a potential cause of nausea during a cardiac event?
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How does diabetes mellitus affect heart health?
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What process primarily involves the exchange of gases between the lungs and the environment?
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Which of the following factors can decrease oxygen carrying capacity?
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Which type of metabolism produces the most ATP?
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What is the primary adverse effect of anaerobic metabolism on cells?
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What is a sign of cerebral hypoxia?
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Which factor affects oxygenation by influencing where an individual lives?
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What term describes the restriction or deviation of the chest wall movement that occurs in flail chest?
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What lifestyle factor is linked to decreased immune system efficiency?
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Which metabolic process occurs when oxygen is not available and generates toxic byproducts?
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What occurs when the lungs expand during breathing?
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What is a common symptom of myocardial infarction (MI)?
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Which of the following is NOT a non-modifiable risk factor for myocardial infarction?
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What pattern is characteristic of atrial fibrillation?
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Which statement about risk factors for MI is accurate?
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What is one of the modifiable risk factors for myocardial infarction?
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How does stress relate to the risk of myocardial infarction?
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During atrial flutter, how does the rhythm pattern compare to atrial fibrillation?
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Which factor increases the risk of plaque buildup in coronary arteries?
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What is a common result of alterations in cardiac function in older adults?
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Which medication is primarily used to improve cardiac contractility?
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What does sinus tachycardia typically result from?
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What is a common characteristic of atrial flutter on an ECG?
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Which condition is associated with an increased risk of myocardial ischemia?
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Which of the following is NOT a symptom of sinus rhythms?
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What defines premature atrial contractions (PACs)?
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Which of these factors contributes to left ventricular hypertrophy?
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What is the primary treatment for stable atrial flutter?
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How does vagal stimulation affect heart rate?
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Which of the following conditions is a leading cause of death in the U.S.?
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Which treatment is typically NOT required for asymptomatic patients?
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What is the heart's response to anemia?
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What is a common sign of mitral valve regurgitation?
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Study Notes
Effects of Physical Inactivity on the Heart
- Reduced cardiac output
- Improper lipid metabolism
- Increased LDL levels
- Accumulation of LDL in blood vessels leading to an increased risk of Myocardial Infarction (MI)
- Potential symptoms include palpitations, distended jugular veins with noticeable pulsations.
Effects of Obesity on the Heart
- Increased production of lipids
- Increased LDL levels
- Atherosclerosis
- Increased risk of MI
Effects of Diabetes Mellitus on the Heart
- Diabetes increases the risk of MI
Effects of Stress on the Heart
- Release of stress hormones like adrenaline, noradrenaline, and cortisol
- Increased heart rate and elevated blood pressure
- Damage to blood vessels over time, increasing the risk of MI
Effects of Fever on the Heart
- Fever is caused by the inflammatory process resulting from the death of myocardial cells.
Oxygenation and Internal Respiration
- Internal respiration involves the respiratory and cardiovascular systems, contributing to cellular respiration.
Factors Affecting Oxygenation
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Physiological Factors:
- Blood vessel lumen narrowing and hardening with age.
-
Developmental Factors:
- Age-related changes in the cardiovascular system
-
Lifestyle Factors:
- Residence in polluted environments
- Smoking
- Substance abuse
- Stress
- Nutrition (e.g., consumption of green leafy vegetables)
- Exercise
-
Environmental Factors:
- Residence
- Workplace
- Usual location
-
Physiological Factors:
- Decreased oxygen-carrying capacity due to conditions like anemia and sickle cell disease.
- Decreased inspired oxygen concentration due to airway obstruction, hypovolemia, and increased metabolic rate.
- Hypothyroidism.
- Hyperventilation (intense emotion, exhaustion)
- Hypoventilation
- Hypoxia (oxygen depletion)
- Conditions affecting chest wall movement:
- Flail chest: paradoxical chest movement (restriction or deviation of chest wall movement)
- Trauma (flail chest, paradoxical chest movement)
Statistics on Oxygenation Related Conditions (Year 2021)
- Respiratory failure: 44.18% of cases
- Pneumonia: 15.92% of cases
- Lung cancer: 11.20% of cases
- Pulmonary diseases: 8.63% of cases
- Pulmonary embolism: 5.50% of cases
- Lung edema: 3.93% of cases
- Respiratory infections: 2.10% of cases
Statistics on Cardiovascular Disease (Year 2021)
- Coronary heart disease caused 375,476 deaths in 2021.
- Heart disease is the leading cause of death for men, women, and people of most racial and ethnic groups.
- One person dies every 33 seconds from cardiovascular disease.
- 702,880 people died from heart disease in 2022.
Alterations in Cardiac Function - HIDHS
- Conditions affecting cardiac strength of contraction, blood flow through the heart, or to the heart muscles, and decreased peripheral circulation.
- These conditions can lead to:
- Reduced left ventricular hypertrophy
- Atherosclerosis
- Arteriosclerosis
- Older adults experience alterations due to calcification of conduction pathways, thicker and stiffer heart valves, lipid accumulation and fibrosis, and a decrease in pacemaker cells in the SA node.
- High mortality rates in post-menopausal females due to the loss of hormones.
Disturbances in Conduction - Cardiac Rhythms
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Sinus Rhythms:
- Normal sinus rhythm
- Sinus bradycardia
- Sinus tachycardia
-
Atrial Rhythms:
- Premature atrial contractions (PACs)
- Atrial flutter
- Atrial fibrillation
- Ventricular Rhythms
- AV Blocks:
Normal Sinus Rhythm
- Characterized by the presence of P waves, QRS complex, and T waves.
Sinus Bradycardia
- Seen in athletes, during sleep, and with vagal stimulation.
- Causes include vagal nerve stimulation, medications (e.g., digitalis, beta-blockers, calcium channel blockers), and diseases conditions (e.g., MI, Myxedema, increased intracranial pressure).
- Treatment is typically not required unless symptomatic; anticholinergics and pacemakers may be used.
Sinus Tachycardia
- Caused by fever, shock, pain, anxiety, heart failure, hypermetabolic states, and anemia.
- Treatment involves removing the underlying cause.
Premature Atrial Contractions (PACs)
- Caused by caffeine, nicotine, heart failure, MI, and hypermetabolic states.
- Treatment is not usually necessary, but may be required in the presence of comorbidities.
Atrial Flutter
- Appearance of a sawtooth pattern on ECG
- Common causes include rheumatic heart disease (RHD), thyrotoxicosis, heart failure, and myocardial ischemia.
- Treatments include digoxin,calcium channel blockers, beta-blockers, K-blockers, cardioversion, and anticoagulation.
Atrial Fibrillation
- Characterized by irregularly irregular rhythm.
- Treatment is tailored to the individual patient and may include medications, cardioversion, and catheter ablation.
Myocardial Infarction (MI)
- Defined as reduced blood flow in a coronary artery due to atherosclerosis or occlusion by an embolus or thrombus.
Epidemiology of MI
- Leading cause of death in the United States.
- Affects one in five men and one in six women.
- Approximately 450,000 people in the United States die from coronary heart disease each year.
Risk Factors for MI
-
Non-modifiable Risk Factors:
- Age (over 40 years)
- Family history
- Gender (MI is three times more common in men)
-
Modifiable Risk Factors:
- High blood pressure.
- High lipid levels.
- Hypertension.
- Smoking.
- Physical inactivity.
- Obesity.
- Diabetes mellitus.
- Stress.
Chest Pain Management
-
24-Hour Halter - 2 Lead Wire:
- Used for continuous monitoring of heart rhythm for 24 hours.
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Pleuritic/Lung Pain:
- Instruct the client to do deep breathing.
- Pain is exacerbated during exhalation due to a pleuritic rub.
-
Cardiac Pain
- Administration of three doses of nitroglycerin.
- If pain persists for more than 20 minutes, further evaluation is necessary.
Cardioversion
- A procedure that uses an electrical shock to restore a normal heart rhythm.
- May be used to treat atrial fibrillation or atrial flutter.
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Description
This quiz explores the various effects of physical inactivity, obesity, diabetes, stress, and fever on heart health. Participants will learn about how these factors contribute to cardiac issues such as myocardial infarction and related symptoms. Test your knowledge on cardiovascular health and the importance of maintaining a healthy lifestyle.