Flashcards in Pathology of Ischemic CV Disease Deck (22)
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1
What are the 3 parts of Virchow's Triad?
1. endothelial injury
2. abnormal blood flow
3. hypercoagulability
2
In what layer of the BV does an atheroma develop?
the intima
3
What are the complications of an aneurism?
1. extravasation of blood --> hematoma
2. tear in intima --> dissection
4
Aortic dissection most commonly occurs with underlying ______.
HTN
5
What is a double-barreled aorta?
when the aortic intima is torn twice, allowing blood return into the lumen
6
What are the s/s of an aortic dissection?
sudden, excruciating pain that radiates to the back
7
What is a Type A aortic dissection?
involves the ascending aorta
8
What is a Type B aortic dissection?
dissections beyond the takeoff of the great vessels
9
What is an aortic dissection beyond the takeoff of the great vessels?
a type B aortic dissection
10
What aortic dissection involves the ascending aorta?
a type A aortic dissection
11
Is a type A or B aortic dissection worse? Why?
type A -- it can travel down into the coronary arteries
12
How is atherosclerosis ID'd?
fibrofatty plaques on the intima
13
What is Mönckeberg's medial calcific sclerosis?
Calcification of media of muscular arteries that does not encroach on vessel lumen
14
What is the most common aortic aneurism?
abdominal
15
What is intermittent chest pain caused by reversible
myocardial ischemia?
angina pectoris
16
What is angina pectoris?
Intermittent chest pain caused by reversible myocardial ischemia
17
What is Prinzmetal’s (variant) angina?
chest pain that occurs at rest/during sleep due to vasospasm
18
What is chest pain that occurs at rest/during sleep due to vasospasm called?
Prinzmetal’s (variant) angina
19
If you have R dominant circulation, like most people, the _____ supplies the _____.
RCA; posterior L ventricle
20
If you have ______, like most people, the RCA supplies the posterior L ventricle.
R dominant circulation
21
If you have _____, the L circumflex coronary artery branches supply the posterior L ventricle.
L dominant circulation
22
