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Cardiovascular System, Part 3 Pathology of the Cardiovascular System Path/o = disease + -logy =study of Coronary Artery Disease (CAD) – narrowing of the coronary arteries that can cause other problems, such as: 1. Atherosclerosis – (ather/o = plaque + -sclerosis = hardening) hardening and narrowing of arteries by build-up of cholesterol plaque Pathology of the CV System Cont’d. 2. Angina Pectoris – spasm of chest pain due to a decrease in blood flow to the myocardium 3. Myocardial Infarction – also known as a heart attack or “MI”; blockage of a coronary artery resulting in death of the surrounding tissue Congestive Heart Failure – heart is unable to pump enough blood to meet the body’s need for oxygen and nutrients. Kidneys retain body fluids that cause swelling in legs and ankles and fluid build-up in the lungs. Pathology of the CV System Cont’d. Bacterial Endocarditis – (endo = inside + cardi = heart + itis = inflammation) inflammation of the lining or valves of the heart caused by a bacteria. Heart Murmur – valve that does not function properly may allow blood to flow back into the heart chamber (where it just came from). Arrhythmias – abnormal rhythm of the heart 1. Bradycardia – (brady = slow + cardi = heart + ia = abn. condition) slow heartbeat, < 60 beats/minute rnceus.com/ekg/ekgsb.html Pathology of the CV System Cont’d. 2. Tachycardia – (tachy = fast) fast heartbeat, > 100 beats/minute www.rch.org.au/clinicalguide/cpg.cfm?doc_id=5247 Fibrillation – rapid, ineffective contractions of the heart 1. Ventricular Fibrillation – irregular contraction of the ventricle, will result in death unless corrected quickly. www.mf.uni-lj.si/.../eng/sz-50/sldr00015.html Pathology of the CV System Cont’d. Hypertension (high blood pressure) – blood pressure above normal limits, 130/90 considered normal http://familymedicine.osu.edu/products/physicalexam/exam/ Diagnostic Procedures 1. Angiography – (angi/o = blood vessel + -graphy = process of recording) X-ray study of blood vessels after injecting dye (contrast medium) www.kup.at/journals/abbildungen/gross/5224.html Diagnostic Procedures Cont’d. 2. Cardiac catheterization – catheter is passed through a vein or artery and guided into the heart, dye is injected, and the Dr. looks for a problem with the coronary arteries supplying blood to the heart. www.svmh.com/heart/cath.asp www.hmc.psu.edu/.../patient/movies/echogram.htm 3. Echocardiography – (ech/o = sound) ultrasound of the structures and motion of heart Treatment / Procedures of the CV System Medications 1. Antihypertensives – (anti = against) used to lower blood pressure 2. Nitroglycerine – used to dilate blood vessels and relieve pain of angina 3. Anticoagulant – slows blood clotting and prevents new clots from forming Treatment / Procedures of the CV System Cont’d. Medications 4. Tissue Plasminogen Activator (TPA) – clot dissolving enzyme used to dissolve clot in patient having a heart attack or stroke 5. Adenosine – medication used to convert some rapid heartbeats into a normal rhythm Treatment / Procedures of the CV System Cont’d. Methods to Clear Blocked Arteries 6. PTCA – Percutaneous Transluminal Coronary Angioplasty. Balloon is inserted during cardiac catheterization and inflated inside artery, this opens the plaque in the vessel so more blood can flow through, balloon is deflated and removed. Sometimes, a stent is used on the outside of the balloon to keep the artery open. www.heartsurgeons.com/angios.jpg Treatment / Procedures of the CV System Cont’d. 7. Coronary Artery Bypass Graft (CABG) – a portion of a vein is removed from the leg and attached to the blocked artery in the heart, this causes blood flow to go around (bypass) the blockage and improve blood flow to heart. www.heartsurgeryva.com/images/si55551803.gif Treatment / Procedures of the CV System Cont’d. 8. Defibrillation – use of electrical shock to restore heart’s normal rhythm www.cnamedical.com/HP43100_large.jpg 9. Pacemaker – device used to regulate the heartbeat, usually used on slow heartbeats or atrial fibrillation 10. Cardiopulmonary Resuscitation – emergency procedure for life support Career Opportunities of the CV System 1. Perfusionist – operates the heart lung machine during a bypass surgery www.bellin.org/photos/Perfusion.jpg 2. CV technologist – assists with cardiac catheterizations, stress testing, pacemaker insertions, etc… 3. EKG technician – performs electrocardiographs on patients, applies holter monitors, etc… Homework There are several careers on p. 77, 91, and 101 You are to create a web diagram that lists one of the careers in the middle and 15 personal characteristics that this particular job would need to have in order to do the job really well. A personal characteristic would be like a “steady hand” for a phlebotomist, “attention to detail” for a lab tech, etc… It does not have to be typed Steady hands Phlebotomist patience