CARDIAC PERIPHERAL VASCULAR

1
CARDIACPERIPHERAL VASCULAR
2
BRAIN / HEART CONNECTION
3
HEART ANATOMY REVIEW

• SURROUNDS THE HEART
• PERICARDIUM
• PARTITIONS RIGHT AND LEFT SIDES
• SEPTUM
• 4 DISTINCT HEART DIVISIONS
• CHAMBERS

4
HEART FLOW CONTROLS

• ALLOW DIRECTIONAL BLOOD FLOW PREVENTING BACKFLOW
• VALVES
• HEARTS RIGHT SIDE
• PULMONARY TRICUSPID 3 CUSPS
• HEARTS LEFT SIDE
• AORTIC MITRAL (BICUSPID)

5
PATHY .What can go wrong?

• CONGENITAL ANOMALIES
• CORONARY BLOCKAGE/IMPAIRMENT
• VALVULAR DISORDERS
• ANEURYSMS
• THYMOMA TUMOR OF THYMUS

6
VEINS

• BLOOD FROM UPPER BODY LOWER BODY
• SUPERIOR VENA CAVA
• INFERIOR VENA CAVA
• OXYGENATED BLOOD TO HEART FROM LUNGS
• PULMONARY VEINS

7
ARTERIES

• BLOOD TO LUNGS FOR OXYGEN
• PULMONARY ARTERIES (R L)
• OXYGENATED BLOOD TO HEART
• CORONARY ARTERIES (R L)
• BUILDUP OF CHOLESTEROL FATS
• PLAQUE
• "HARDENING OF THE ARTERIES
• ATHEROSCLEROSIS

8
RISK FACTORS OF CAD

• NO CONTROL
• Gender
• Age
• Heredity
• CAN CONTROL
• High blood pressure
• Smoking
• High cholesterol levels
• Lack of proper exercise
• Body weight
• Diabetes
• Stress
• Poor Diet

9
(No Transcript)
10
(No Transcript)
11
CAD SYMPTOMS

• PAIN CHEST, NECK AND/OR ARMS
• DURATION - 3 TO 5 MINUTE OR LONGER
• RESULTS - OXYGEN DEPRIVATION
• OUTCOME - HEART ATTACK

12
(No Transcript)
13
(No Transcript)
14

• http//www.nhlbi.nih.gov/health/dci/Diseases/Angio
  plasty/Angioplasty_During.html

15
CAD TRIGGERS

• PHYSICAL EXERTION
• EATING
• CHANGES IN TEMPERATURE
• EXTREME EMOTION
• AT REST

16
CABG IMAGE
17
CABG Acronym for ?

• OXYGEN RICH BLOOD TO HEART MUSCLE
• LIFESPAN 10 TO 12 YEARS
• HARVEST
• VEIN - GREATER SAPHENOUS
• ARTERY INTERNAL MAMMARY
• RADIAL ARTERY

18
THROMBOSIS What is it?
19
HEART VALVE ANATOMY
20
HEART VALVE PROBLEMS

• REGURGITATION or INSUFFICIENCY
• Pulmonary venous HTN
• CHF
• STENOSIS
• Ventricular hypertrophy
• CHF

21
(No Transcript)
22
(No Transcript)
23
VALVE FACTORS

• AGE
• ANTICOAGULANT USE
• OCCUPATION
• HEART FUNCTION RHYTHM
• VALVE SIZE NEEDED

24
STERNOTOMY MIS
25
NORMAL HEARTBEAT

• STARTS NORMAL HEARTBEAT
• Sinoatrial (SA) node
• RECEIVES IMPULSE
• Atrioventricular (AV) node
• AV NODE TRIGGERS WHAT?
• Ventricular contraction
• NORMAL HEARTBEAT RATE
• 60 80 times a minute!

26
CARDIAC DYSRHYTHMIA

• Interruption of electrical conductivity between
  atria and ventricle
• HEART BLOCK
• Slow, fast or irregular heartbeats
• ARRHYTHMIA
• SLOW BRADYCARDIA lt 60 bpm
• FAST TACHYCARDIA gt 100bpm
• Irregular, disorganized electrical activity
• ATRIAL FIBRILLATION

27
(No Transcript)
28
MAZE INSTRUMENTS
29
CARDIAC DIAGNOSTICS

• Catheter advanced from Brachial/Femoral artery to
  heart or coronary artery
• CARDIAC CATHETERIZATION
• RECORD ELECTRICAL VARIATIONS
• EKG
• Ultrasound views cardiac structure/motion
• ECHOCARDIOGRAM
• Endoscopic viewing of cardiac grafts, perfusion,
  valves, ventricular function
• TEE ( transesophageal echocardiogram)

30
LAB STUDIES

• CARDIAC ENZYMES
• BLOOD WORK
• ARTERIAL BLOOD GASES

31
SPECIAL EQUIPMENT

• THERMISTOR
• AUTO TRANSFUSER
• SLUSH
• CINE MACHINE

32
HEART FAILURE

• WHO HAS IT? - 1-2 U.S. Populous 4.9 million
• WHAT CAUSES IT? ---- MI HTN
• Cardiomyopathy
• Diabetes
• Valvular Disease
• Pericardial Diseases
• Continuous Tachycardia

33
(No Transcript)
34
(No Transcript)
35
(No Transcript)
36
(No Transcript)
37
(No Transcript)
38
(No Transcript)
39
(No Transcript)
40

• http//www.bing.com/videos/watch/video/nejm-proced
  ure-deployment-of-an-endovascular-graft-in-an/1286
  11DDD591396E3987128611DDD591396E3987?qabdominala
  orticaneurysmsurgeryFROMLKVR5GT1LKVR5FORML
  KVR27

41
(No Transcript)
42
CAROTIDENDARTERECTOMY

• http//www.videomd.com/CarotidEndarterectomy-fv-56
  0.aspx

43

• http//www.cts.usc.edu/videos.html
• http//www.vascularsurgery.org.uk/index.php?option
  com_contentviewsectionlayoutblogid12Itemid
  110
• http//www.wesleymooremd.com/video/
• http//www.bing.com/videos/search?qvascularsurge
  ryvideoclipsqpvtvascularsurgeryvideoclipsF
  ORMVDREadltstrict

44

• http//quizlet.com/6239001/surgical-technology-ch-
  23-peripheral-vascular-surgery-flash-cards/
• http//www.pluromed.com/legoo_clinical_ex.htm
• http//www.rush.edu/rumc/page-R11815.html
• http//www.youtube.com/watch?vZxqj1BcBpIg
• http//www.ctsnet.org/sections/clinicalresources/v
  ideos/index.html
• http//www.smm.org/heart/videos/top.htmlbypass
• http//www.provena.org/mercy/body.cfm?id957
• http//www.vascularprocedures.com/html/carotid/axi
  llofemoral.php

45

• http//www.youtube.com/watch?vksjhfw_Pcx8