CARDIOVASCULAR

ORGAN THAT
SYSTEM PUMPS BLOOD
TO THE PARTS OF
THE BODY

ABOUT THE SIZE

OF THE FIST

HEART BLOOD
LOCATED IN THE
MEDIASTINUM

ENCLOSED IN
THE
PERICARDIAL
ENDOCARD
IUM
MYOCARD
IUM
EPICARDIU
M
 CORONARY BLOOD SUPPLY
1. LEFT
CIRCUMFLEX –
left ventricle and
auricle

SA node, AV 2. ANTERIOR
junction, posterior DESCENDING –
1/3 of the septum anterior 2/3 of the
septa & right bundle
branch

3. POSTERIOR
DESCENDING
 Remember!!!

S INOATRIAL
NODE

A
TRIOVENTRICU
LAR NODE
B
UNDLE OF HIS

P
URKINJE FIBERS
 M O N
CO M S
E A S E
DI S G
C T IN
AFF E E
TH
E A R T
H
ANGINA
-CHEST PAIN
- ASSOCIATED WITH
TRANSIENT MYOCARDIAL
ISCHEMIA
Characteristics:
- EPISODIC PAIN FOR 5 – 15
MINUTES
- USUALLY PROVOKED BY
EXERTION
- RELIEVED BY NTG
 I C T A B L E 1. Stable
- UINTPHRSEA DME
- W ILY
- ETAT S
E R N O F
PA O K E D BT Y
I O N
R O V U R A
OPNSETM ,D
A L E F F
T O
Y R
O T
F
M I N I
I N TE N S I
A N D E S S I V E
- PMRP OTGORMS E -
SY E N D O / P R
CR E S C
R A C T I O Ne
INF 2. Unstabl

KINDS OF
ANG
 PRINZME
TAL / VA
ANGINA RIANT
- SPAS
M OF A M
CORONA AJOR
RY ARTE
NO RY
CTURNA
L ANGIN
- OC A
CURS AT
NIGH T
ANGINA
DECU BITUS
- OCC
URS WH
LYING D EN A PE
OWN RSON IS
-SUBSTERNAL PAIN /
TIGHTNESS / PRESSURE
RADIATING TO THE LEFT
SHOULDER LASTING FOR 5
TO 15 MINUTES

- MYOCARDIAL TISSUES
NOT DAMAGE
  ANTi-PLATELET
MANAGEMEN  burning sensation
AGGREGATiON indicates
THERAPY
T potency
nitroglycerine ASPIRIN – drug of choice
 store in dark and air tight
 NiTRATES
container
NITROGLYCERIN – drug of
Purchase every 6 to 9 months
choice

 Repeat doage
ISOSORBIDE every 5 to –10long
DINITRATE
mins
actingfor 2 to 3 times only
nitrate
Myocardial infarction
- DEATH OF MYOCARDIAL CELLS DUE TO THE
OCCLUSION OF ONE OF THE CORONARY
ARTERIES OR ITS BRANCHES BY A CLOT OR
SCLEROTIC CONDITION
SIGNS AND SYMPTOMS
- STEADY, CONSTRICTIVE AND SUBSTERNAL
CHEST PAIN (LEVINE’S SIGN)
- INCREASED CARDIAC MARKERS
 CK – MB :