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CV Exam 1 Terminology
Terms and Tests for CV Exam 1
75
Medical
Professional
09/22/2011

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Term
History
Definition
most important aspect of CV care
Term
S4 gallop, diastolic murmur
Definition
always abnormal finding
Term
X-ray
Definition
test for heart size/pulmonary changes
Term
ECG
Definition
test for MI/injury/ischemia (chest pain)
Term
ECho
Definition
test for chamber size/contractility/valve function
Term
24h Holtor
Definition
quantifies arrhythmias
Term
Transtelephonic patient-activated event recorder
Definition
qualifies arrhythmias
Term
Stress Test
Definition
for diagnosis/prognosis of CAD and aerobic fitness determination
Term
Radioisotope imaging
Definition
test for myocardial viability/perfusion/contractility
Term
Cardiac Catheter
Definition
test for coronary anatomy and quantification of valvular stenosis/regurgitation/cardiac shunts
Term
Class I Heart Disease
Definition
without limitation of physical activity
Term
Class II Heart Disease
Definition
slight limitation of physical activity (fatigue, angina, dysnpea)
Term
Class III Heart Disease
Definition
marked limitation of physical activity (exhaustion after less than normal activity)
Term
Class IV Heart Disease
Definition
inability to carry on physical activity without discomfort
Term
S3 gallop
Definition
can be pathological or due to increased volume (pregnancy/exercise)
Term
Hypercalcemia
Definition
indicates long process of atherosclerosis
Term
Doppler
Definition
bounces sounds of RBCs, detects quantity of blood flow
Term
Convective transport
Definition
mass movement due to a pressure gradient
Term
v (velocity)=
Definition
Q (flow rate)/A (area)
Term
P(hydrostatic pressure) =
Definition
p(density) * g(gravity) * h(height of fluid)
Term
Total energy = (Bernouli Equation)
Definition
KE (kinetic energy) + PE (potential energy)
Term
KE (specific kinetic energy)=
Definition
p(density) * v^2 (velocity)/2
Term
Q(flow rate) = (Pouiselle's Law)
Definition
dP(pressure change) * pi *r^4(radius)/8 * n(viscosity) * l(length of pipe)
Term
R (resistance) =
Definition
8 * n(viscosity) * l(length of pipe)/pi * r^4 (radius)
Term
dP(pulse pressure) =
Definition
Q(flow rate) * R (resistance)
Term
Re (Reynold's number)
Definition
p(density) * D(vessel diameter) * v(velocity)/n (viscosity)
Term
Turbulent flow
Definition
Re>2000
Term
Laminar flow
Definition
RE<2000
Term
Intima
Definition
ECs overlaying small ECM, bound by IEL
Term
Media
Definition
smooth m. cells between IEL and EEL
Term
Medium-size Arteries
Definition
made of smooth m. cells, can vasoconstrict/vasodilate
Term
Arterioles
Definition
principle points of regulation, changes pulsatile flow to steady flow
Term
Capillaries
Definition
ECs without media, slow velocity/high surface area are ideal for exchange
Term
Post-capillary venules
Definition
contain 2/3 of all systemic blood, valves present to prevent back flow
Term
Lymphatics
Definition
return interstitial blood and fluid to heart
Term
Vasculogenesis
Definition
de novo formation of blood vessels during embryogenesis
Term
Neovascularization
Definition
new vessel formation with VEGF for angiogenesis
Term
Vulnerable plaque
Definition
lots of lipid, low fibrous cap
Term
Stable plaque
Definition
small lipid core, large fibrous cap
Term
True aneurysm
Definition
bound by vascular tissue
Term
False aneurysm
Definition
breach in wall, extravascular blood
Term
Hyaline Arteriolosclerosis
Definition
homogenous amorphous eosinophilic hyaline material in vessel wall, hallmark of HTN
Term
Hyperplastic Arteriolosclerosis
Definition
eosinophilic bands (onion skin), necrotic arteriolitis (fibrinoid necrosis), hallmark of malignant HTN
Term
Type A aortic dissection
Definition
most common/dangerous, ascending/descending aorta
Term
Type B (distal)
Definition
aortic dissection distal to subclavian a.
Term
Windkessel Function
Definition
conversion of pulsatile flow to continuous flow
Term
Compliance=
Definition
dV (volume change) / dP (pressure change)
Term
Elastance=
Definition
dP (pressure change) / dV (volume change)
Term
MAP (Mean arterial pressure)=
Definition
Pd (diastolic pressure) + 1/3 * (Ps-Pd) (Pulse pressure)
Term
AV shunt
Definition
non-nutritional, for temperature regulation
Term
Metarteriole
Definition
nutritional flow from aa. to vv., can connect to capillaries
Term
o (wall stress)=
Definition
dP (transmural pressure) * r (radius) / w (wall thickness)
Term
T (wall tension)= (Laplace's Law)
Definition
dP (transmural pressure) * r (radius)
Term
Qf (fluid movement)=
Definition
Kf (filtration constant) * ((Pc+oi)(filtration) - (Pi+oc)(absorption))
Term
Filtration
Definition
positive Qf, fluid movement out of capillaries
Term
Absorption
Definition
negative Qf, fluid movement into capillaries
Term
Reactive Hyperemia
Definition
incrased flow responding to release of an arterial occlusion, sudden increase in Q causes compensatory decrease in R
Term
Functional Hyperemia
Definition
increased flow response due to increased tissue activity (skeletal mm. during exercise)
Term
Medulla
Definition
cardiovascular centers in reticular formation, sympathetic/parasympathetic cell bodies
Term
Hypothalamus
Definition
temperature control
Term
Cortex
Definition
emotional stress
Term
Nucleus Tractus Solitarius
Definition
receives afferent info from CN IX/X in baroflex
Term
Carotid sinus/Aortic arch
Definition
baroreceptors
Term
Carotid bodies/aortic bodies
Definition
peripheral chemorereceptors, respond to decreased pO2 (hypoxia)/ increased pCO2/ increased H+
Term
Medullary neurons in CV center
Definition
central chemoreceptors, sensitive to increased pCO2 and increased pH+ (not hypoxia)
Term
Vagal Syncope
Definition
intense vagal discharge decreases HR, causes decreased TPR/CO, causes decreased cerebral perfusion (loss of consciousness)
Term
Postural syncope
Definition
blood pools in extremities, decreased venous return to heart, causes decreased CO/MAP
Term
Vasovagal syncope
Definition
emotional/GI distress stimulates vagal afferents, icnreased vagal tone decreases HR
Term
Valsalva
Definition
straining against closed glottis, increased intrathoracic pressure cases decreased venous return/stroke volume/CO
Term
Pre-HTN
Definition
120-139/80-89, encourage lifestyle modification
Term
Normal BP
Definition
<120/80
Term
Stage 1 HTN
Definition
140-159/90-99, thiazide or ACEI/ARB/CCB/BB
Term
Stage 2 HTN
Definition
>160/100, 2-drug therapy
Term
Fahreus Effect
Definition
hematocrit decreases with decreasing vessel diameter
Term
O(oncotic pressure)=
Definition
o(reflection coefficient) * R(gas constant) * T(absolute temperature) * (Ci-Co) (transmural concentration difference)
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