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Cardiac Pathology PPT 022510

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									Lab Values
Cholesterol
Arterial Blood Gas Values
Complete Blood Count
Coagulation Profile
Glucose Testing
      Inflammation Markers
• SED Rate
• C-reactive Protein
        Serum Electrolytes
•   Potassium
•   Sodium
•   Calcium
•   Magnesium
Cardiac Medications
       Anti-Ischemic Drugs


• Beta Blockers
      Anti-Ischemic Drugs
• Calcium – Channel Blockers
       Anti-Ischemic Drugs
• Nitrates
     Increasing Myocardial Oxygen
                Supply

•   Thrombolytic agents
•   Antiplatelet agents
•   Anticoagulants
•   Calcium-channel
    blockers
         Heart Failure Drugs
•   Diuretics
•   Positive Inotropes
•   Vasodilators
•   Calcium-channel blockers
•   Angiotensin-converting enzyme inhibitors
•   Morphine
•   Beta blockers
Antiarrhythmic Agents
Antihypertensive Therapy
Lipid Disorders
Pharmacological Management of
          Diabetes
Pharmacology and Heart
    Transplantation
Sex and Heart Disease
Cardiac Pathophysiology
         Cardiac Pathology
Failure of any of the three interrelated
factors:
• Oxygen supply to the heart
• Contractibility of the ventricles
• Impulse initiation or conduction
Coronary Artery Disease
Coronary Artery Disease
       Risk Factors
Ischemia
Angina
Myocardial Infarction
Women and Heart Disease
        Warning Signs for Women’s
              Heart Attacks
• Unusual fatigue
• New, unusual shortness of breath during everyday
  activities (or at rest)
• Nausea
• Dizziness
• Lower chest discomfort
• Back pain
• Upper abdominal pressure or discomfort


Reference: The Women’s Healthy Heart Program by Nieca Goldberg, MD, page 35.
       Go Red for Women


• Awareness
• Knowledge
• Tools
       Coronary Occlusion
• Fixed atherosclerotic lesion
• Fixed atherosclerotic lesion with a
  thrombus
• Plaque rupture with thrombus formation
• Coronary spasm
 Re-vascularization Procedures
• Percutaneous transluminal coronary
  angioplasty
• Rotational atherectomy
• Laser surgery
• Coronary artery bypass grafting
Coronary Angioplasty
Stents
Coronary Bypass Grafting
Pharmacological Management of
   Coronary Artery Disease

Goal to reestablish balance of myocardial
           supply and demand
       Cardiac Rehabilitation
•   Phase I
•   Phase II
•   Phase III
•   Phase IV
Heart Failure
        Cardiomyopathies
Three Common Classifications
    Dilated
    Hypertrophic
    Restrictive
CHF is a
Systemic
Disease
Clinical Presentation of CHF
Pharmacological Management of
            CHF
Physical Therapy Intervention
   for Patients with CHF
Heart Transplant
Organ Donation
 Automatic Implantable
Cardioverter Defibrillator
Pacemaker
Hypertension
Exercise Prescription to Lower
      Cholesterol Levels
Cardiac Syncope
Pericarditis
Aneurysm
Aneurysm
Cardiac Valve Disease
Valve Disease
Mitral
Valve
Prolapse
Rheumatic Fever
Bacterial Endocarditis
Congenital Cardiovascular
     Abnormalities
Defects of the Cardiac Nervous
            System
Left Ventricular Assist Device
          Patient Education
•   Activity guidelines
•   Self-monitoring
•   Symptom recognition and response
•   Nutrition
•   Medications
•   Lifestyle issues
•   Psychosocial issues
Medical Alert
    Cardiopulmonary Complications
          of Substance Abuse

•   Caffeine
•   Cannabis
•   Depressants
•   Narcotics
•   Stimulants
•   Tobacco
Cardiopulmonary Complications
      of Eating Disorders
Autonomic Neuropathy
Metabolic Syndrome
Cardiac Complications of Cancer
     and Cancer Treatment
Normal Cardiovascular Changes
Associated with Aging

								
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