CV Disease Flashcards

(33 cards)

1
Q

What is a carotid bruit?

A

abnormal sound produced by turbulent flow, heard by stethoscope

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2
Q

What is a stenosis?

A

when arterial walls thicken, harden, and lost elasticity

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3
Q

What is a transient ischemic attack (TIA)?

A

‘mini stroke’
no lasting effects
lasts few minutes to few hours, no more than 24 H

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4
Q

What is a TIA caused by?

A

emboli most often from heart or piece of plaque from carotid

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5
Q

What is a reversible ischemia neurological deficit (RIND)?

A

lasts longer than a TIA, deficit resolves over time

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6
Q

What is a cerebrovascular accident (CVA)?

A

produces permanent neurological deficit, artery becomes blocked and brain tissue dies

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7
Q

What is paresis?

A

weakness or slight paralysis

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8
Q

What is parasthesia?

A

prickling or tingling feeling of skin

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9
Q

What is anesthesia?

A

numbness or lack of feeling

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10
Q

What is dysphasia?

A

difficulty speaking

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11
Q

What is aphasia?

A

inability to speak

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12
Q

What is expressive aphasia?

A

inability to communicate what is intended

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13
Q

What is amaurosis fugax?

A

temporary, partial, or complete blindness usually within 1 eye

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14
Q

What is vertigo?

A

difficulty maintaining equillibrium

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15
Q

What is ataxia?

A

muscular in-coordination

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16
Q

What is diplopia?

A

double vision

17
Q

What is a drop attack?

A

falling to ground without loss of consciosness

18
Q

What is syncope?

A

transient loss of consciousness

19
Q

What are the types of plaque?

A

-fatty/soft
-smooth
-ulcerated/sharp
-calcified/hard
-complicated

20
Q

What is the most important thing when diagnosing disease?

21
Q

What are the 3 velocity factors for carotid stenosis?

A

PSV, EDV, ICA/CCA ratio

22
Q

What is the most significant parameter for CCA stenosis?

23
Q

When does EDV remain normal?

A

when there is less than a 50% reduction

24
Q

What is sued to differentiate between severe and critical stenosis?

25
What is spectral broadening?
fill in of acoustic window on doppler waveform, caused by high velocities
26
What is the ICA/CCA ratio formula?
highest PSV in stenotic region / highest PSV in ipsilateral CCA
27
What is a normal ICA/CCA ratio?
<2
28
1-15 % diameter reduction equals what PSV
<180
29
16-49 % diameter reduction equals what PSV
<180
30
50-69 % diameter reduction equals what PSV
>180
31
>70 % diameter reduction equals what PSV
230+
32
What does a change in vertebral artery waveform indicate?
subclavian steal syndrome
33
What is subclavian steal syndrome?
if prox subc is stenotic, ipsilateral vert flow may be retrograde