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2013 MS Ch 25 Disorders of Coronary and Peripheral Blood Vessels

AB
acute coronary syndromea group of clinical symptoms compatible with acute myocardial ischemia; S/S may include chest discomfort or pain, burning, squeezing, tightness
aneurysmstretching and bulging of an arterial wall, usually caused by weakening of the vessel
angina pectorischest pain of cardiac origin
arteriosclerosisloss of elasticity or hardening of the arteries
atherectomysurgical removal of fatty plaque from arteries by inserting a cardiac catheter with a cutting tool at the tip or performing laser angioplasty
atheromafatty mass within the arterial wall
atherosclerosiscondition in which the lumen of the artery fills with fatty deposits, chiefly composed of cholesterol
bruitpurring or blowing sound caused by blood flowing over the rough surface of one or both carotid arteries
cardiac rehabilitationprogram following a cardiac event taht combines exercise and educational activities to speed recovery and reduce or prevent recurring episodes
cholesterolfatty (lipid) substance
collateral circulationcirculation formed by smaller blood vessels branching off from or near larger occluded vessels
coronary artery diseasearteriosclerotic and atherosclerotic changes in the coronary arteries supplying the myocardium
coronary occlusionobstruction of a coronary artery that reduces or totally interrupts blood supply to the distal muscle area
coronary stentsmall, metal coil with mesh-like openings placed within the coronary artery during PTCA that prevents the coronary artery from collapsing
coronary thrombosisblood clot within a coronary artery
electron beam computed tomographyradiologic test that produces x-rays of the coronary arteries using an electron beam
embolusmoving mass of particles, either solid or gas, within the bloodstream
enhanced external counter pulsationnoninvasive and nonsurgical therapy that helps relieve angina using a pressure suit that moves blood toward the heart
high-density lipoproteinlipoprotein that has a higher ratio of protein than cholesterol
homocysteineamino acid created during the metabolism of protein; elevated levels are believed to impair memory and contribute to above-normal cholesterol levels
hyperlipidemiahigh levels of fat in blood
infarctarea of tissue that dies from inadequate oxygenation
ischemiaimpaired oxygenation of cells and tissues
laser angioplastyuse of short pulses of light to vaporize arterial plaque
lipid profilea group of tests that measure various blood fats; one indicator of a person's risk for cardiac and vascular disease; consists of measuring total serum cholesterol, LDL, HDL, and triglycerides
low-density lipoproteinprotein in blood that has a higher ratio of cholesterol than protein
neoangiogenesisnew growth of blood vessels
percutaneous transluminal coronary angioplastyprocedure in which a balloon-tipped catheter is inserted into a diseased coronary artery, then inflated to compress atherosclerotic plaque
peripheral vascular diseasedisorders that affect blood vessels distant from the large central blood vessels supplying the myocardium or that circulate blood directly in and out of the heart
phlebothrombosisclot formation with minimal or no venous inflammation
phytoestrogensplant sources of estrogen such as soy; may be a cardioprotective strategy
plaquefatty deposits composed chiefly of cholesterol
subendocardial infarctiondeath of tissue that does not extend through the full thickness of the myocardial wall
thrombolytic agentsdrugs that dissolve blood clots
thrombosisformation of a blood clot
thrombusstationary blood clot
topical hyperbaric oxygentherapy used to treat chronic, non-healing skin lesions by delivering oxygen above atmospheric pressure directly to the wound; may be used to treat venous ulcers
transmural infarctiondeath of tissue that extends through the full thickness of the myocardial wall
transmyocardial revascularizationlaser procedure that improves oxygenation of myocardial tissue by creating channels into which oxygenated blood seeps and is absorbed by the ischemic myocardium
varicose veinsdilated, tortuous veins; caused by anything that constricts or interferes with venous return such as incompentent valves; blood becomes congested and the overstretching prevents recoil eventually
vein ligationsurgical treatment for severe varixose veins in which the affected veins are ties off above and below the area of incompetent valves, but the dysfunctional vein remains
vein strippingsurgical treatment for severe varixose veins in which the affected veins are severed and removed
venous insufficiencyperipheral vascular disorder in which the flow of venous blood is impaired through deep or superficial veins, or both
venous refluxretrograde flow of venous blood
venous stasis ulcerlesion that forms on the skin when the flow of venous blood is impaired


School of Practical Nursing
James Rumsey Technical Institute
Martinsburg, WV

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