Exam (elaborations)
APEA-Cardiovascular- Patho/exam review/study guide/questions and answers/correct and verified 100%
APEA-Cardiovascular- Patho/exam review/study guide/questions and answers/correct and verified 100%APEA-Cardiovascular- Patho/exam review/study guide/questions and answers/correct and verified 100%
A common cause of diastolic heart failure is:
myocarditis
myocardial infarction
dilated cardi...
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APEA-Cardiovascular-
Patho/exam review/study guide/question
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Ayscommonyscauseysofysdiastolicysheartysfailureysis:ys
myocarditis
myocardialysinfarction
dilatedyscardiomyopathy
hypertensionys-yscorrectysanswers-Hypertensionys
long-termyshypertensionysisysayscommonyscauseysofysdiastolicysheartysfailure.ys
Diastolicysdysfunctionysoccursyswhenystheysfillingysofysoneysorysbothysventriclesysisysimpairedysbec
auseystheysventricleyshasysbecomeyslessyscompliant.ys
Theysheartysmustyspumpysmoreysforcefullyysinysorderystoyspushysbloodysintoyscirculationysagainstysi
ncreasedysvascularysresistance.
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spatterns?ys
Classicysangina
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Pleuriticyschestyspainys-yscorrectysanswers-Prinzmetal'sysanginays
Resultsysfromyscoronaryysarteryysvasospasmysandysoccursysinysanysatypicalyspattern.ysItysisysusua
llyysatysayssingleyssite.ysItyscanysoccurysinysaysnormalysorysdiseaseysvessel.ysPainysisysusuallyysresolv
edyswithysanginaysmedication.ys
Classicys(stableysangina)ysoccursyswhenystheysheartysisysstressed,yslastsyslessysthanys5ysminutes,
ysandysusuallyysresolvesyswithysrest.ys
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minutes,ysdoesysnotysfollowystheysnormalyspainyspattern,ysandysmayysnotysresolveyswithysrestysorysa
nginaysmedication.ysItysisysoftenysassociatedysoryssignalsysaysMI.
,Ayspatientyswhoysisysinyscardiogenicysshockyswillyspresentyswith:ys
ayshighyscardiacysindexys
decreasedysvascularysresistanceys
increasedysventricularysejectionysfractionys
mixedysvenousysoxygenyssaturationys-yscorrectysanswers-mixedysvenousysoxygenyssaturationys
Patientsyswillyshaveysayslowyscardiacysindex,yselevatedysfillingyspressuresysofystheysleft,ysright,ysorys
bothysventricles,ysandysaysdecreasedysmixedysvenousysoxygenyssaturation.
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leftysatriumysonlyys
aortaysandyspulmonaryysarteryys
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rightyscoronaryysarteryys-yscorrectysanswers-aortaysandyspulmonaryysartery
TheysprimaryyscauseysofyscardiogenicysshockysinysayspatientyswithysanysacuteysMIysis:ys
failureysofystheysventricleystoyspumpysbloodysadequatelyys
failureysofystheysaorticysvalveystoyspumpysbloodysadequatelyys
regurgitationysofystheystricuspidysvalve
regurgitationysofystheysmitralysvalveys-yscorrectysanswers-
failureysofystheysventricleystoyspumpysadequately
Unstableysanginaysisyscharacterizedysby:ys
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anginayssymptomsyslastingys>6ysmonths.ys
increasingyscrescendoysanginays
anginayswithyselevatedyscardiacysmarkersys-yscorrectysanswers-increasedyscrescendoysanginays
unstableysanginaysisyscharacterizedysbyysprolongedysanginaysatysrestys(usuallyys>20ysminutesysat
ysrest),ysandysincreasingyscrescendoysanginays(nowysmoreysfrequentys&yslongerysduration)
Whichysoneysofystheysfollowingysproducesysvisibleysevidenceysofysanysunderlyingysproblemyswithys
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stasisysdermatitisys
varicoseysveinsys-yscorrectysanswers-varicoseysveins
WhichysoneysofystheysfollowingysisysNOTysanysassessmentysfindingysinysayspatientyswhoysisysexperi
encingysshock?ys
lowysurineysoutput
end-organyshyperperfusionys
poorysmentationys
hypotensionys-yscorrectysanswers-end-organyshyperperfusion
Aysprogressiveysdiseaseysofysheartysmuscleysthatysisyscharacterizedysbyysventricularyschamberys
enlargementysandyscontractileysdysfunctionysis:ys
acuteyscoronaryyssyndromeys
cardiacystamponade
dilatedyscardiomyopathyys
thyrotoxicosisys-yscorrectysanswers-dilatedyscardiomyopathy
Patientsyswithysacuteyscoronaryyssyndromeysmayysexperienceyschestyspainyssecondaryysto:ys
arterialysvasodilationys
oxygenysdemand
potassiumysdepletionys
elevatedyscreatineys-yscorrectysanswers-oxygenysdemand
Whatysisystheyspurposeysofysactivationysofystheyssympatheticysnervousyssystem,ystheysrenin-
angiotensin-
aldosteroneyssystem,ysandystheysantidiureticyssystemysinystheyspresenceysofysimpairedyscardiacys
pumpingysand/orysfilling?ys
promotionysofysvenousysrelaxationys
productionysofysarterialysvasoconstrictionys
decreaseysinysvenousyspressureys
decreaseysinysventricularysfillingys-yscorrectysanswers-
Productionysofysarterialysvasoconstrictionys