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14 Cards in this Set

  • Front
  • Back

What is coronary Heart disease

Fatty deposit and plaque build up inside coronary arteries. Causing the narrowing of the lumen and hardening of the vessel.


Narrowing can reduce the blood flow and oxygen deliver to the muscle

What are the risk factors for coronary heart disease

Family history of heart disease, diabetes, obesity, high BP, high cholesterol, being male, using tobacco, sedentary lifestyle, age

What is Angina

A result of the narrowing & hardening of the coronary vessels

At rest there is sufficient oxygenated blood to reach the heart but on exertion what happens?

The heart requires further oxygen but this cannot be achieved through the narrowed vessels. The heart will become ischaemic & the PT will develop symptoms

Signs and symptoms of Angina

Pain/discomfort in the centre of the chest (induced by exercise or stress - relieved at rest)


Pain can radiate to jaw, neck or arms.


Breathless


Sweating


Pallor


Nausea or vomiting

What is Acute Coronary Syndrome (ACS)

A range of dangerous conditions - all of which constitute medical emergencies & result from an decrease in coronary blood flow

What conditions come under ACS

Unstable Angina


Non ST elevation myocardial infarction (NSTEMI)


ST elevation myocardial infarction (STEMI)

What is unstable angina

Episodes of angina happening more often and unpredictably without provocation of exercise or stress

What is a Myocardial Infarction?

The process of injury or infarct (death) to an area of the heart muscle

How can an MI occur?

Plaques break off inside the coronary vessel wall - causing a bleed and a clot to form at the site - this can reduce or block blood flow to the area.

What happens if a blockage occurs

The heart muscle will not receive oxygen past the blockage. This part will become ischemic and if left untreated the muscle may die - this is irreversible

Signs and symptoms of MI

Pain/discomfort centre of the chest


Described as crushing or tight in nature. Prolonged pain. May radiate to the jaw, neck or arms.


Breathless, marked sweating, pallor, skin is cold and clammy


Nausea and vomiting.


ECG changes


Haemodynamic instability/fainting

What is fainting?

A sudden temporary loss of consciousness

Some warning symptoms of fainting can be?

Yawning, feeling clammy or sweaty


Nausea, fast deep breathing


Confusion, light headedness, blurred vision & ringing in the ears