Chapter 5 pathology and procedures

cardiology

study of the heart

cardiovascular technologist/technicial

healthcare professional trained to preform variety of diagnostic and therapeutic procedures

angiitis

inflammation of a vessel

angiospasm

involuntary muscle contraction of smooth muscle in a wall of a vessel

angiostenosis

narrowing of a vessel

embolus

obstruction of blood vessel by blood clot that has broken off from thrombus somewhere else in body and traveled to point of obstruction; occurs in coronary artery

infarct

area of tissue within organ of part undergoes necrosis (death) following loss of its blood supply

ischemia

localized and temporary deficiency of blood supply due to obstruction of circulation

murmur

sound, in addition to normal heart sounds, arising from blood flowing through heart; extra sound may or may nt indicate abnormality

orthostatic hypotension

sudden drop in blood pressure a person experiences when standing straight up suddenly

palpitations

pounding, racing heartbeats

plaque

yellow, fatty deposits of lipids in artery that is hallmark of atherosclerosis; also called atheroma

regurgitation

to flow backward; in cardiovascular system refers to back flow of blood through a valve

thrombus

blood clot forming within blood vessel; may partially or completely occlude blood vessel

angina pectoris

severe chest pain (CP)

cardiac arrest

complete stopping of heart activity

cardiac tamponade

pressure on heart as a result of fluid buildup around heart in pericardial sac; heart becomes unable to pump blood effectively

cardiomegaly

enlarged heart

mardiomyopathy

general term for disease of myocardium; can be caused by alcohol abuse, parasites, viral infection, and congestive heat failure' most common reason for heart transplant

congenital septal defect (CSD)

hole. present at birth, in septum between two heart chambers; results in mature of oxygenated and deoxygent=ated blood; can be atrial septal defect (ASD) and a ventricular septal defect (VSD)

congestive heart failure (CHF)

pathological condition of heart in which there is reduced outflow of blood from left side of heart because left ventricle myocardium has become too weak to effectively pump blood; weakness, breathlessness, and edema

coronary artery disease (CAD)

insufficient blood supply to heart muscle due to an obstruction of one or more coronary arteries; may be caused by atherosclerosis and may cause anger pectoris and myocardial infarction

endocarditis

inflammation of lining membranes of heart; may be due to bacteria or to abnormal immunological response; in bacterial endocarditis, mass of bacteria that forms is referred to as vegetation

heart valve prolapse

condition in which cusps or flaps of heart valve are too stiff and are unable to open fully (difficult for blood to flow) or shut tightly (allowing blood to flow backward); may affect any heart valve

myocardial infarction (MI)

heart attack; condition caused by partial or complete occlusion or closing of one or more coronary arteries; symptoms include squeezing pain or heavy pressure in middle of chest (anger pectoris); delay of treatment could result in death

myocarditis

inflammation of muscle layer of heart wall

pericarditis

inflammation of pericardial sac around heart

metrology of Fallot

combination of four congenital anomalies: pulmonary stenosis, inter ventricular septal defect, improper placement of aorta, and hypertrophy of right ventricle, needs immediate surgery to correct

valvulitis

inflammation of heart valve

arrhythmia

irregularity in heartbeat or action; comes in many different forms; may be too fast, too slow, or irregular pattern; some are not serious, while others are life threatening

bundle branch block (BBB)

occurs when electrical impulse is blocked from traveling down dowel of His/bundle branches; result in ventricles beating at different rate than atria; also called heart block

bradycardia

condition of having slow heart rate; typically less than 60bpm; highly trained aerobic persons may normally have slow heart rate

fibrillation (fib)

extremely serious arrhythmia characterized by abnormal quivering or contraction of heart fibers; when this occurs in ventricles, cardiac arrest and death can occur; emergency equipment to defibrillate or convert heart to normal beat is necessary

flutter

arrhythmia in which atria beat too rapidly, but in regular pattern

premature atrial contraction (PAC)

arrhythmia in which atria contract earlier than they should

premature ventricular contraction (PVC)

arrhythmia in which ventricles contract earlier than they should

tachycardia

condition of having a fast heart rate, typically more than 100bpm

aneurysm

weakness in wall of artery resulting in localized widening of artery; although aneurysm may develop in any artery, common sites include aorta in abdomen and cerebral arteries in brain

arteriorrhexis

ruptured artery; may occur of aneurysm ruptures arterial wall

arteriosclerosis

thickening, hardening, and loss of elasticity of walls of arteries; most often due to atherosclerosis

atheroma

plaque; deposit of fatty substance in wall of artery that bulges into and narrows lumen of artery; characteristic of atherosclerosis

atherosclerosis

most common form of arteriosclerosis; caused by formation of yellowish plaques of cholesterol on inner walls of arteries

coarctation of the aorta (CoA)

severe congenital narrowing of the aorta

deep vein thrombosis (DVT)

formation of blood clot in a vein deep in the body, most commonly in the legs; embolus breaking off from this thrombosis would travel to lungs and block blood flow through lungs

hemorrhoid

varicose veins in anal region

hypertension (HTN)

blood pressure (BP) above normal range; essential or primary hypertension occurs directly from cardiovascular disease; secondary hypertension refers to high blood pressure resulting from another disease such as kidney disease

hypotension

decrease in blood pressure (BP); can occur in shock, infection, cancer, anemia, or as death approaches

patent ductus arteriosus (PDA)

congenital heart anomaly in which fetal connection between pulmonary artery and aorta fails to close at birth; condition may be treated with medication and resolve with time; however some cases surgery is required

peripheral vascular disease

any abnormal condition affecting blood vessels outside heart; symptoms may include pain, pallor, numbness, and loss of circulation and pulse

phlebitis

inflammation of a vein

polyarteritis

inflammation of several arteries

Raynaud's phenomenon

periodic ischemic attacks affecting extremities of body especially fingers, toes, ears, and nose; affected extremities become cyanotic and very painful; attacks are brought on by arterial constriction due to extreme cold or emotional stress

thrombophlebitis

inflammation of vein resulting in formation of blood clots within vein

varicose veins

swollen and distended veins, usually in legs

auscultation

listening to sounds within the body

sphygmomanometer

blood pressure cuff; instrument for measuring blood pressure

stethoscope

instrument for listening to body sounds

cardiac biomarkers

blood test to determine level of proteins specific to heart muscle in blood; indicate heart muscle damage such as myocardial infarction; creatine kinase (CK) and troponin

serum lipoprotein level

blood test to measure amount of cholesterol in blood; indicator of atherosclerosis risk

angiogram

x-ray record of vessel taken during angiography

angiography

x-ray taken after injection of opaque material into blood vessel; can be preformed on aorta, heart, and brain

cardiac scan

given radioactive thallium intravenously and then scaly equipments used to visualize heart; useful in determining myocardial damage

Doppler ultrasonography

measurement of sound wave echoes as they bounce off tissues and organs to produce an image; measure velocity of blood moving through vessels to look for clots and deep vein thromboses

echocardiography (ECHO)

noninvasive diagnostic procedure using ultrasound to visualize internal cardiac structures; cardiac valve activity can be evaluated using this method

cardiac catheterization (CC)

passage of thin tube catheter through blood vessel leading to heart; done to deduct abnormalities, collect cardiac blood samples, and determine blood pressure in heart

catheter

flexible tube inserted into body for purpose of moving fluids into or out of body; cardiovascular system used to insert dye into blood vessels so can be visualized x-ray

electrocardiogram (ECG, EKG)

hardcopy record produced by electrocardiography

electrocardiography

process of recording electrical activity of heart; diagnosing of abnormal cardiac rhythm and heart muscle (myocardial) damage

Holter monitor

portable ECG monitor worn by patient

stress testing

method for evaluating cardiovascular fitness of a patient on treadmill or bike