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aneurysm
localized dilation of a blood vessel wall (usually an artery) due to a congenital defect or weakness in the vessel wall
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angina pectoris
mild to severe pain or pressure in the chest caused by ischemia; also called angina
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arrhythmia
irregularity or loss of rhythm of the heartbeat; also called dysrhythmia
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fibrillation
irregular, random contraction of heart fibers that commonly occurs in the atria or ventricles of the heart and is usually described by the part that is contracting abnormally, such as atrial fibrillation or ventricular fibrillation
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arteriosclerosis
thickening, hardening, and loss of elasticity of arterial walls; also called hardening of the arteries
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atherosclerosis
most common form of arteriosclerosis caused by accumulation of fatty substances within the arterial walls, resulting in partial and, eventually, total blockage
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bruit
soft blowing sound heard on auscultation caused by turbulent blood flow
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embolus
mass of undissolved matter (commonly a blood clot, fatty plaque, or air bubble) that travels through the bloodstream and becomes lodged in a blood vessel
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heart block
disease of the electrical system of the heart, which controls activity of heart muscle
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first-degree heart block
atrioventricular (AV) block in which the atrial electrical impulses are delayed by a fraction of a second before being conducted to the ventricles
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second-degree heart block
AV block in which only some atrial electrical impulses are conducted to the ventricles
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third-degree heart block
AV block in which no electrical impulses reach the ventricles; also called complete heart block (CHB)
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heart failure (HF)
condition in which the heart cannot pump enough blood to meet the metabolic requirement of body tissues; formerly called congestive heart failure (CHF)
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hypertension (HTN)
consistently elevated blood pressure, causing damage to the blood vessels and, ultimately, the heart
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ischemia
inadequate supply of oxygenated blood to a body part due to an interruption of blood flow
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mitral valve prolapse (MVP)
structural abnormality in which the mitral (bicuspid) valve does not close completely, resulting in a backflow of blood into the left atrium with each contraction
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murmur
abnormal sound heard on auscultation caused by defects in the valves or chambers of the heart
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myocardial infarction (MI)
necrosis of a portion of cardiac muscle caused by partial or complete occlusion of one or more coronary arteries; also called heart attack
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patent ductus arteriosus
failure of the ductus arteriosus (which connects the pulmonary artery to the aortic arch in a fetus) to close after birth, resulting in an abnormal opening between the pulmonary artery and the aorta
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raynaud disease
severe, sudden vasoconstriction and spasm in fingers and toes followed by cyanosis after exposure to cold temperature or emotional stress; also called raynaud phenomenon
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rheumatic heart disease
streptococcal infection that causes damage to the heart valves and heart muscle, most commonly in children and young adults
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stroke
damage to part of the brain due to interruption of its blood supply caused by bleeding within brain tissue or, more commonly, blockage of an arterry; also called cerebrovascular accident (CVA)
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thrombus
a stationary blood clot formed within a blood vessel or within the heart, commonly causing vascular obstruction; also called blood clot
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deep vein thrombosis (DVT)
formation of a blood clot in a deep vein of the body, occurring most commonly in the iliac and femoral veins
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transient ischemic attack (TIA)
blood supply to part of the brain is briefly interrupted but does not cause permanent brain damage and may be a warning sign of a more serious and debilitating stroke in the future; also called ministroke
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cardiac catheterization
insertion of a small tube (catheter) through an incision into a large vein, usually of an arm (brachial approach) or leg (femoral approach), that is then threaded through a blood vessel until it reaches the heart
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cardiac enzyme studies
battery of blood tests performed to determine the presence of cardiac damage
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echocariography (ECHO)
ultrasound technique used to image the heart and evaluate how the heart's chambers and valves are working and to diagnose and detect pathological conditions
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electrocardiography (ECG)
creation and study of graphic recordings (electrocardiograms) produces by electric activity generated by the heart muscle; also called cariography
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holter monitor
monitoring device worn by a patient that records prolonged electrocardiograph readings (usually 24 hours) on a portable tape recorder while the patient conducts normal daily activities
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stress test
electrocariography (ECG) taken under controlled exercise stress conditions (typically using a treadmill) while measuring oxygen consumption
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nuclear stress test
ECG that utilizes a radioisotope to evaluate coronary blood flow
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troponin I
blood test that measures protein released into the blood by damaged heart muscle (not skeletal muscle) and is a highly sensitive, specific indicator of recent myocardial infarction (MI)
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angioplasty
surgery that opens a blocked artery by inflating a small balloon within a catheter to widen and restore blood flow in the artery
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coronary artery bypass graft (CABG)
angioplasty in which peripheral vein(s) are removed and each end of the vein is sutured onto the coronary artery to create new routes around narrowed and blocked arteries, allowing sufficient blood flow to deliver oxygen and nutrients to the heart muscle
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cardioversion
restoration of normal heart rhythm by applying an electrical countershock to the chest using a device called a defibrillator; also called defibrillation
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defibrillator
device used to administer a defibrillating electric shock to restore normal heart rhythm
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automatic implantable cardioverter-defibrillator (AICD)
surgically implanted electrical device that automatically detects and corrects potentially fatal arrhythmias by delivering low-energy shocks to the heart; also called implantable cardioverter defibrillator (ICD)
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automatic external defibrillator (AED)
portable computerized device that analyzes the patient's heart rhythm and delivers an electrical shock to stimulate a heart in cardiac arrest
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endarterectomy
surgical removal of the lining of an artery
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carotid endarterectomy
removal of plaque (atherosclerosis) and thromboses from an occluded carotid artery to reduce the risk of stroke
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endovenous laser therapy (EVLT)
treatment of large varicose veins in the legs in which a laser fiber is inserted directly into the affected vein to heat the lining within the vein, causing it to collapse, shrink, and eventually disappear; also called endovenous laser ablation (EVLA)
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sclerotherapy
chemical injection into a varicose vein that causes inflammation and formation of fibrous tissue, which closes the vein
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valvuloplasty
insertion of a balloon catheter in a blood vessel in the groin through the aorta and into the heart to widen a stenotic (stiffened) heart valve and increase blood flow; also called percutaneous valvuloplasty
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anticoagulants
prevent the clotting or coagulation of blood
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beta blockers
slow the heart rate and reduce the force with which the heart muscle contracts, thereby lowering blood pressure
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nitrates
relieve chest pain associated with angina and ease symptoms of heart failure (HF)
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statins
reduce cholesterol levels in the blood and block production of an enzyme in the liver that produces cholesterol
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thrombolytics
dissolve blood clots in a process known as thrombolysis
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coronary artery disease (CAD)
condition that involves narrowing of the coronary arteries, resulting in failure of the arteries to deliver an adequate supply of oxygenated blood to the heart muscle (myocardium). Narrowing of arterial walls (arteriostenosis) usually caused by atherosclerosis, which is a common form of arteriosclerosis. CAD causes the ordinarily smooth lining of the artery to become roughened as the atherosclerotic plaque collects in the artery. This accumulation causes partial and, eventually, total blockage (occlusion) of the artery.
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varicose veins
Normal veins have healthy (competent) valves. The venous walls are strong enough to withstand the lateral pressure of blood exerted on them. Blood flows through competent valves in one direction, toward the heart. In varicose veins, also known as varicosities, dilation of veins from long periods of pressure prevents complete closure of the valves. Unhealthy or damaged (incompetent) valves do not close completely. The incompetent valves result in a backflow and pooling of blood in the veins. This pooling causes varicosites that contribute to enlarged, twisted superficial veins, called varicose veins. They commonly appear blue, bulging, and twisted. If left untreated, varicos veins can cause aching and feelings of fatigue as well as skin changes. Because the blood pools, the risk of thrombosis is increased as well. Treatment consists of sclerotherapy and such surgical intervention as EVLA of the greater saphenous (large) veins in the legs and dmicrophlebectomies of the lesser saphenous (small) veins.
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