Test 2 Chapter 32 Flashcards Preview

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Flashcards in Test 2 Chapter 32 Deck (66)
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1

Essential or idiopathic hypertension
Genetic and environmental factors

Primary hypertension

2

hypertension caused by a systemic disease process that raises peripheral vascular resistance or cardiac output

secondary hypertension

3

hypertension accused by elevation of systolic pressure caused by increases in cardiac output, total peripheral vascular resistance, or both

isolated systolic hypertension

4

chronic hypertensive damage to the walls of systemic blood vessels
Vascular remodeling

Complicated hypertension

5

rapidly progressive hypertension
Can lead to encephalopathy

malignant hypertension

6

aneurysm that includes dysrhythmias, heart failure, and embolism of clots to the brain or other vital organs

Heart aneurysm

7

drugs given for hypertension to non blacks and may or may not have diabetes

thiazide
ACE-1
ARB
CCB

8

drugs given for hypertension to blacks and may or may not have diabetes

Thiazide
CCB

9

drugs given to for hypertension and also have CKD

ACE-1
ARB

10

Complications of atherosclerosis

Aneurysms
Coronary artery disease

11

local dilation or outputting of a vessel wall or cardiac chamber

aneurysm

12

aneurysm that is asymptomatic until it ruptures, then it becomes painful

Aorta

13

aneurysm that included dysphagia, and dyspnea that are caused by the pressure

Thoracic

14

aneurysm in which flow to an extremity is impaired, causing ischemia

abdomen

15

treatments for aneurysms

maintenance of low flood volume and pressure
Smoking cessation
B adrenergic blockage
Surgery

16

complication of aneurysms

aortic dissection

17

Is a devastating complication of the aorta, can disrupt blood flow through the arterial branches
Tearing of the vessel wall
Is a surgical emergency

Aortic dissection

18

Any vascular disorder that narrows or occluded the coronary arteries

Coronary artery Disease

19

what is the most common cause of coronary artery disease

artherosclerosis

20

develops if the supply of coronary blood cannot meet the demand of the myocardium oxygen and nutrients

myocardial ischemia

21

causes predictable chest pain

stable angina

22

causes unpredictable chest pain

prinzmetal (variant) angina

23

causes no predictable symptoms

silent ischemia

24

causes transient substernal chest discomfort

angina pectoris

25

sudden and extended obstruction of the myocardial blood supply

Myocardial infarction

26

a myocardial infarction that involves the inner most layer of the myocardium

subendocardial infarction

27

infarction that involves the full thickness of the myocardium

transmural infarction

28

temporary loss of contractility

myocardial stunning

29

metabolic adaptations to prolong myocyte survival

hibernating myocardium

30

changes in size, structure, and physiology of the heart after injury to the myocardium
Mediated by TNF alpha, catecholamines, angiotensin II, aldosterone, insulin resistance

Myocardial remodeling