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CV Exam 4 Terminology
Terms and Tests for CV Exam 4
21
Medical
Professional
10/12/2011

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Term
Adenosine and Hypoxia
Definition
primary metabolic activators of blood flow in the heart
Term
Pressure Rate Product (MVO2)
Definition
= LVSP x HR
Term
Systolic stretch
Definition
nonfunctional myocardium bulges out during systole because it doesn't contract
Term
Angina pectoris
Definition
crushing pain along left shoulder and arm along ulnar n.
Term
Cardiac Regeneration Therapy
Definition
induced pluripotent stem cells (iPS) can differentiate into cardiomyocytes and replace damaged tissue
Term
L. Anterior Descending a
Definition
supplies anterior/apical left ventricle and anterior 2/3 of interventricular septum
Term
R. coronary a
Definition
supplies posterior L ventricle, posterior 1/3 of interventricular septum
Term
L. circumflex a
Definition
supplies lateral L. ventricle
Term
Coagulation Necrosis
Definition
due to hypoxia and toxins, swelling/necrosis/disruption of organelles, random/diffuse DNA breakdown, due to ATP depletion/membrane injury/ROS, inflammation in tissue
Term
MI at 18-24h
Definition
nuclear pyknosis, cytoplasmic eosinophilia, contraction bands
Term
MI at 1-3d
Definition
complete fiber necrosis, PMN infiltrate, pallor appearance
Term
MI at 4-7d
Definition
macrophage infiltrate, granulation tissue, central pallor and hyperemic border appearance
Term
MI at 10d
Definition
well-developed phagocytosis, yellow/sunken/soft appearance
Term
MI at 7-8wk
Definition
fibrosis, firm gray appearance
Term
Lifestyle modifications for dyslipidemia
Definition
decrease body weight, aerobic exercise, cholesterol-lowering diet
Term
CK and ALT
Definition
monitoring tests during statin therapy, should not be more than 3xULN
Term
Absolute Thrombolytic Contraindications
Definition
prior intracranial hemorrhage, structural cerebral vascular lesion, malignant intracranial neoplasm, ischemic stroke within 3mo, aortic dissection, bleeding/diathesis, closed head/facial trauma within 3mo
Term
Relative Thrombolytic Complications
Definition
severe unctontrolled HTN, CPR >10min, major surgery within 3wk, internal bleeding within 2-4wk, pregnancy, peptic ulcer
Term
Rescue PCI
Definition
due to failed thrombolysis
Term
Facilitated PCI
Definition
thrombolytic therapy followed by PCI, not recommended
Term
Ross Procedure
Definition
transfer pulmonary valve to aorta, replace pulmonary valve with a cow's jugular vein
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