Term
|
Definition
|
|
Term
| has there been a decline or increase in deaths from IHD and why |
|
Definition
decline
reduce risk factors and better treatment |
|
|
Term
| what can increase in angina without changing the blood vessels? |
|
Definition
|
|
Term
| hypoxia can be caused by-3 |
|
Definition
anemia
cyanotic heart disease
advaned lung disease |
|
|
Term
| MVO2 (demand) can increase due to what-5 |
|
Definition
| BP, stress, HR, contraction, ionotropic |
|
|
Term
| the function of what 2 things determines the amount of O2 that blood can carry |
|
Definition
|
|
Term
| adequate coronary blood flow is impacted grealty by? |
|
Definition
|
|
Term
| blood flow thru coronary artery is mainly during? |
|
Definition
|
|
Term
| PR and regulation is mainly at what type of vessels-2 |
|
Definition
small arterires
capillaries |
|
|
Term
| if no flow limiting atheroscelrotic blocks- which reistance is trivial? |
|
Definition
|
|
Term
| coronary blood flow is regulated by heart's need of? |
|
Definition
|
|
Term
|
Definition
| control of blood flow indepednetn of physiological alterations in BP |
|
|
Term
| metabolic regulation ex: 2 |
|
Definition
|
|
Term
| which vessels show the most ability for dilation |
|
Definition
|
|
Term
| what % of stenosis is ok in the epicardial arteries? |
|
Definition
|
|
Term
| severity of ACS depdns on degree and location of |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
emboli
LVHT
BP decreases
anemia |
|
|
Term
| coronary artherosclerosis occurs mainly where- 2 |
|
Definition
increase turbulence
branchpoint of epicardial |
|
|
Term
| these factors disturb normal epitheliu-5m |
|
Definition
| smoking, high LDL, diabetes, HTN, low LDL |
|
|
Term
| _% stenosis keeps a good blod supply except when increased demand from exerrcise, etc |
|
Definition
|
|
Term
| _% stenosis is when blood flow is reduced even at rest |
|
Definition
|
|
Term
| do you want a slow or fast forming stenosis? why? |
|
Definition
| slow, have time to make collateral vessels |
|
|
Term
| stenosis of what 2 arteries are really bad |
|
Definition
left main coronary
proximal left anterior descneding |
|
|
Term
| stenosis of an artery leads to dilation of- |
|
Definition
| distal resistance vessels |
|
|
Term
|
Definition
| hypokinesia, akinesia, dyskinesia, contractility, pump function |
|
|
Term
| acute ischemia causing failure of relaxation and constriciton presents as? |
|
Definition
|
|
Term
| for left ventricular failure, when do you have mitrial reguritation? |
|
Definition
| if papillary muscle is invovled |
|
|
Term
| trnasient ischemia presents as |
|
Definition
|
|
Term
| prolonged ischemia presents as |
|
Definition
|
|
Term
| ischemia effcts are reversible if shorter than how long |
|
Definition
|
|
Term
| when do myocytes start dieing during ischemia? |
|
Definition
|
|
Term
| ischmia causes a drop in this substance and a increase in- |
|
Definition
|
|
Term
during ischemia does yourintracell pH increase or decrease?
this causes these ions to accumlate-2
this ion is kicked out |
|
Definition
|
|
Term
| what is the prinicpal diagnostic tool for IHD |
|
Definition
|
|
Term
if ischemia affects just a aprt of the artery thickness what happens to ST?
if affects whole thickness? |
|
Definition
|
|
Term
| most patients who die suddenly of IHD is bc of |
|
Definition
| induced ventriclar tachyarrthymia |
|
|
Term
| do most ppl have symptoms of no symtpoms of IHD? why? |
|
Definition
none
need 50% stenosis for symptoms |
|
|
Term
| heart failure is usually the result fo sympotamtic or non symptomatic IHD? |
|
Definition
|
|
Term
| CAD is classfied as what type of IHD |
|
Definition
|
|
Term
|
Definition
>1 mm width
>2 mm deep
>25% depth of QRS
present in leads V-1-3 |
|
|
Term
| STEMI or NSTEMI has more fo Q wave present? |
|
Definition
|
|
Term
Cad presents in men over- women over-
typical symtpoms: |
|
Definition
50, 60
pressure, smothering, choking |
|
|
Term
| which type of angina is where the person puts a clenched fist over the sternum |
|
Definition
|
|
Term
| where can CAD angina radiate at espeicaly- |
|
Definition
| ulnar surface of forearm and hand |
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|
