Download - CV Disorders Pathophysiology
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MEDICAL DIAGNOSIS
ASHD, CAD, PROBABLE ACS, AF IN RVR > AVR, NOT IN FAILURE, CLASS IV D
ACUTE KIDNEY INJURY PROBABLY SECONDARY TO DECREASE ECV SECONDARY TO ARHYTHMIA (AF), PROBABLY SECONDARY TO ACS
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DEFINITION OF TERMS
ASHD
CAD
ACS
AF
RVR
AVR
NOT IN FAILURE
CLASS IV D
DECREASED ECV
AKI
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PATHOPHYSIOLOGY
ASHD CAD
ACS AF
ECV AKI
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ATHEROSCLEROSIS
ASHD
FOAM CELLS
FATTY STREAK
FIBROUS PLAQUE AGINA/ INTERMITTENT CLAUDICATION
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CORONARY ARTERY DISEASE
COMPLICATED PLAQUES
CAD THROMBUS
MYOCARDIAL ISCHEMIA
NAUSEA VOMITING
ANGINA
COOL & CLAMMY
EXTREMITIES DIAPHORESIS
ACS
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MYOCARDIAL ISCHEMIA
PRINZMETAL ANGINA
SILENT ISCHEMIA
MENTAL STRESS-INDUCED ISCHEMIA
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ACUTE CORONARY SYNDROME
ACS
UNSTABLE ANGINA
DYSPNEA, TACHYCARDIA, DIAPHORESIS, ANXIETY, PULMONARY CONGESTION
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ACS: MYOCARDIAL INFARCTION
MYOCARDIAL INFARCTION
NONSTEMI & STEMI
CATECHOLAMINE
ARRHYTHMIA
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NONSTEMI & STEMI
Cause:
Thrombus partially or intermittently occludes
the coronary artery (NONSTEMI)
Thrombus fully occludes the coronary artery (STEMI)
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NONSTEMI & STEMI
Signs and Symptoms
Pain with or without radiation to arm, neck, back, or epigastric region
Shortness of breath, diaphoresis, nausea, lightheadedness,
Tachycardia, tachypnea, hypotension or hypertension,
Decreased arterial oxygen saturation (SaO2)
Rhythm abnormalities
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Diagnostic Findings
NONSTEMI & UNSTABLE ANGINA
ST-segment depression or T-wave inversion on electrocardiography
Cardiac biomarkers are elevated
STEMI ST-segment elevation or new left bundle
branch block on electrocardiography
Cardiac biomarkers are elevated
ARRHYTHMIA
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ARRHYTMIA
RVR:STROKE VOLUME
AVR: MYOCARDIUM CONTRACTILITY
Cardiac Output: CATECHOLAMINE
ATRIAL FIBRILLATION (AF)
HYPERKALEMIA