Beurger’s Takutsubo And Takayasu Flashcards
(26 cards)
What is Buerger’s disease also known as?
Thromboangiitis obliterans
Buerger’s disease is a small and medium vessel vasculitis strongly associated with smoking.
List five features of Buerger’s disease.
- Extremity ischaemia
- Intermittent claudication
- Ischaemic ulcers
- Superficial thrombophlebitis
- Raynaud’s phenomenon
These features are characteristic of Buerger’s disease.
What is Takotsubo cardiomyopathy associated with?
Transient, apical ballooning of the myocardium triggered by stress
Takotsubo is a Japanese term for an octopus trap, describing the heart’s appearance.
What is the pathophysiology of Takotsubo cardiomyopathy?
Severe hypokinesis of mid and apical segments with preserved basal segment activity
This results in the apex of the heart not contracting, leading to a ballooning appearance.
What are the features of Takotsubo cardiomyopathy?
- Chest pain
- Features of heart failure
- ECG: ST-elevation
- Normal coronary angiogram
These features help in identifying Takotsubo cardiomyopathy.
What is the treatment for Takotsubo cardiomyopathy?
Supportive treatment
Most patients improve with supportive care.
What is the prognosis for patients with Takotsubo cardiomyopathy?
The majority of patients improve with supportive treatment
This indicates a generally favorable outcome.
What type of vasculitis is Takayasu’s arteritis?
Large vessel vasculitis
It primarily affects the aorta.
What demographic is more commonly affected by Takayasu’s arteritis?
Younger females (10-40 years) and Asian people
This demographic information is crucial for diagnosis.
List five features of Takayasu’s arteritis.
- Systemic features of vasculitis (e.g., malaise, headache)
- Unequal blood pressure in the upper limbs
- Carotid bruit and tenderness
- Absent or weak peripheral pulses
- Upper and lower limb claudication on exertion
These features are important for clinical recognition.
What is a common association with Takayasu’s arteritis?
Renal artery stenosis
This condition can arise as a complication of Takayasu’s arteritis.
What investigations are required to diagnose Takayasu’s arteritis?
Vascular imaging of the arterial tree
Either magnetic resonance angiography (MRA) or CT angiography (CTA) is used.
What is the management for Takayasu’s arteritis?
Steroids
Steroids are the mainstay of treatment for this condition.
What is Buerger’s disease also known as?
Thromboangiitis obliterans
Buerger’s disease is a small and medium vessel vasculitis strongly associated with smoking.
List five features of Buerger’s disease.
- Extremity ischaemia
- Intermittent claudication
- Ischaemic ulcers
- Superficial thrombophlebitis
- Raynaud’s phenomenon
These features are characteristic of Buerger’s disease.
What is Takotsubo cardiomyopathy associated with?
Transient, apical ballooning of the myocardium triggered by stress
Takotsubo is a Japanese term for an octopus trap, describing the heart’s appearance.
What is the pathophysiology of Takotsubo cardiomyopathy?
Severe hypokinesis of mid and apical segments with preserved basal segment activity
This results in the apex of the heart not contracting, leading to a ballooning appearance.
What are the features of Takotsubo cardiomyopathy?
- Chest pain
- Features of heart failure
- ECG: ST-elevation
- Normal coronary angiogram
These features help in identifying Takotsubo cardiomyopathy.
What is the treatment for Takotsubo cardiomyopathy?
Supportive treatment
Most patients improve with supportive care.
What is the prognosis for patients with Takotsubo cardiomyopathy?
The majority of patients improve with supportive treatment
This indicates a generally favorable outcome.
What type of vasculitis is Takayasu’s arteritis?
Large vessel vasculitis
It primarily affects the aorta.
What demographic is more commonly affected by Takayasu’s arteritis?
Younger females (10-40 years) and Asian people
This demographic information is crucial for diagnosis.
List five features of Takayasu’s arteritis.
- Systemic features of vasculitis (e.g., malaise, headache)
- Unequal blood pressure in the upper limbs
- Carotid bruit and tenderness
- Absent or weak peripheral pulses
- Upper and lower limb claudication on exertion
These features are important for clinical recognition.
What is a common association with Takayasu’s arteritis?
Renal artery stenosis
This condition can arise as a complication of Takayasu’s arteritis.
