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Med Surge - Chapter 31

AB
arteriosclerosisloss of elasticity or hard arteries - age
atherosclerosislumen of arteris fill w/fatty deposits
composed of cholesteral calledplaque
atheroscleroisis - non modifiable factorsage, gender, ethnicity, genetics
atherosclerosis - modifiable factorssmoking, obesity, lyperlipemia, booze, sedentary
hyperlipidemiahigh levels of blood fat
atherosclerosis also linked to ___ and ___infection and inflammation
coronary thrombosisblood flows thru vessels become trapped, mass
coronary occlusionclosing of artery, reduces blood - leads to MI
obesity w/ ___ shape body is higher riskapple shape
CAD - s/sfatigue, angina, indigestion, burning, squeezin
4 types of anginastable, unstable, variant, microvascular
stable angina75% occlusion, high HR or BP, eathing large meal
unstable angina90% occlusion, chest pain increased freq poorly relieved rest
variant anginaarterial spasm in normal or diseased CA
microvascular anginacontriction of myocardial capillaries too small for test to detect
arcus senilisopaque ring in eyes
xanthelasmayellowish plaque around eyes
CAD - diagnostic testslipid profile, CT, EKG, Cardiac Cath
LDLbad - sticks to arteries
HDLgood - carried to liver for removal
Total cholesteral level less than200
triglycerides s/b less than150
CAD - treatmentlife changes, blood sugars, meds
CAD - Atherectomyremoval of fatty plaque
Coronary Angioplasty akaballoon
Coronary Angioplasty procedureballoon tipped catheter inserted, inflated to increase lumen
Care after Coronary Angioplastyno lifting more 10lbs, bike, driving, mowing 3 days
atherectomyremoval of hard plaque - rotorooter
TMR - Transmyocardial Revascularizationlaser procedure which improves oxygen to myocardial tissue



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