Cardiovascular Disorders Questions With Complete
Solutions
Peripheral Artery Bypass Procedures
Key Points
Acute Coronary Syndromes (ACS)
-pathophysiology, assessment and management
-includes MIs, angina, HF etc.
,Heart Failure
-pathophysiology, assessment and management
Overview of the following major vascular
disorders: Abdominal Aortic Aneurysm, Aortic
Dissection and Peripheral Arterial Disease,
including their related pathophysiology,
assessment and management
Cardiovascular Disease in the US
-Remains the leading cause of mortality in the
US
-In 2008, the estimated national cost was $449
billion
-Leading cause of death for both men and women
-Is projected to double as main cause of disability
by 2020
Cardiovascular Function
-Goal of CV system is to provide perfusion to
body and vital organs
-Tissue perfusion is directly related to blood flow
-Combination of the "pump, pool, & pipes"
,influence blood flow (pump=heart, pool=blood,
pipes=arteries & veins)
Cardiovascular History
Focus on present history!
-Delve into past history if patient is not in distress
-Presence of chest "pain"
P, Q, R, S, T
Physical exam
-Inspect
-Auscultate
-Palpate
PQRST
-A subjective assessment
P-precipitating/aggravating/relieving factors
Q-quality
R-region/radiation
S-severity/other symptoms
T-timing
U-patient understanding/perception
Risk Factors
-Age, Gender, Race
, -Family history
-Hyperlipidemia, obesity, diet, inactivity
-Hypertension
-Tobacco use
-Diabetes, Kidney disease
Acute Coronary Syndromes
-A group of clinical symptoms compatible
with acute myocardial ischemia (lack of blood
flow and oxygen to muscle of heart)
-Acute myocardial ischemia results from coronary
artery disease-CAD (atherosclerosis)
Clinical syndromes include:
-Unstable angina
-Non-ST elevation myocardial infarction (NSTEMI)
-ST elevation myocardial infarction (STEMI).
Acute Coronary Syndrome Diagram