cardiovascular


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cardiovascular

 [kahr″de-o-vas´ku-ler]
pertaining to the heart and blood vessels.

car·di·o·vas·cu·lar (CV),

(kar'dē-ō-vas'kyū-lăr), [TA]
Relating to the heart and the blood vessels or the circulation.
Synonym(s): cardiovasculare [TA], vasculocardiac
[cardio- + L. vasculum, vessel]

cardiovascular

(kär′dē-ō-văs′kyə-lər)
adj.
Of, relating to, or involving the heart and the blood vessels: cardiovascular disease.

cardiovascular

Referring to the circulatory system, which consists of the heart and the pulmonary and systemic circulation, which transport nutrients and oxygen to and remove waste products and carbon dioxide from organs and tissues.

menopause

Change of life, climacteric, 'time of life'  Gynecology The cessation of menstrual activity due to failure to form ovarian follicles, which normally occurs age 45–50 Clinical Menstrual irregularity, vasomotor instability, 'hot flashes', irritability or psychosis, ↑ weight, painful breasts, dyspareunia, ↑/↓ libido, atrophy of urogenital epithelium and skin, ASHD, MI, strokes and osteoporosis–which can be lessened by HRT. See Estrogen replacement therapy, Hot flashes, Male menopause, Premature ovarian failure, Premature menopause. Cf Menarche.
Menopause–”…what a drag it is getting old.” Jagger, Richards
Bladder Cystourethritis, frequency/urgency, stress incontinence
Breasts ↓ Size, softer consistency, sagging
Cardiovascular Angina, ASHD, CAD
Endocrine Hot flashes
Mucocutaneous Atrophy, dryness, pruritus, facial hirsutism, dry mouth
Neurologic Psychological, sleep disturbances
Pelvic floor Uterovaginal prolapse
Skeleton  Osteoporosis, fractures, low back pain
Vagina Bloody discharge, dyspareunia, vaginitis
Vocal cords Deepened voice
Vulva  Atrophy, dystrophy, pruritus

hypertension

High blood pressure Cardiovascular disease An abnormal ↑ systemic arterial pressure, corresponding to a systolic BP of > 160 mm Hg and/or diastolic BP of 95 mm Hg and graded according to intensity of ↑ diastolic BP; HTN affects ± 60 million in the US Workup Evaluation of HTN requires clinical Hx for Pt, family Hx, 2 BP determinations, funduscopy, ID of bruits in neck & abdominal aorta, evaluation of peripheral edema, peripheral pulses and residual neurologic defects in stroke victims, chest films to determine cardiac size and lab parameters to rule out causes of secondary HTN Risk factors Race–blacks more common, ♂, family history of HTN, obesity, defects of lipid metabolism, DM, sedentary lifestyle, cigarette smoking, electrolyte imbalance–eg, ↑ sodium, phosphorus, ↓ potassium, tin Treatment Diet–eg, sodium restriction, ↓ calories, alcohol and cigarettes–the weight gain accompanying smoking cessation tends to offset the minimal ↓ in BP, calcium supplements, lifestyle manipulation–eg, biofeedback, ↑ exercise; antihypertensives–eg, diuretics–benzothiadiazines, loop diuretics, potassium-sparing diuretics, sympatholytic agents–central and peripheral-acting α-adrenergics, β-adrenergics, mixed α- and β-blockers, direct vasodilators, ACE inhibitors–the preferred agent to use ab initio, dihydropiridine CCBs. See ACCT, ACE inhibitor, Borderline hypertension, Borderline isolated systolic hypertension, Calcium channel blocker, Drug-induced hypertension, Essential hypertension, Exercise hypertension, Familial dyslipemic hypertension, Gestational hypertension, Idiopathic intracranial hypertension, Isolated systolic hypertension, Malignant hypertension, MRC, Obetension, Paradoxic hypertension, Pill hypertension, Pregnancy-induced hypertension, Pseudohypertension, Pulmonary hypertension, Refractory hypertension, Renovascular hypertension, SHEP, STOP-Hypertension, TAIM, TOHP-1, TOMHSTyramine hypertension, White coat hypertension.
Hypertension
Class I–mild Diastolic pressure 90-104 mm Hg
Class II–moderate Diastolic pressure 105-119 mm Hg
Class III–severe Diastolic pressure > than 120 mm Hg
Hypertension types
Essential hypertension Idiopathic HTN The major form comprising 90% of all HTN
Malignant hypertension A sustained BP > 200/140 mm Hg, resulting in arteriolar necrosis, most marked in the brain, eg. cerebral hemorrhage, infarcts, and hypertensive encephalopathy, eyes, eg papilledema and hypertensive retinopathy and kidneys, eg acute renal failure and hypertensive nephropathy; if malignant HTN is uncorrected or therapy refractory, Pts may suffer a hypertensive crisis in which prolonged high BP causes left ventricular hypertrophy and CHF
Paroxysmal hypertension Transient or episodic waves of ↑ BP of any etiology, punctuated by periods of normotension, typical of pheochromocytoma
Portal hypertension ↑ portal vein pressure caused by a backflow of blood through splenic arteries, resulting in splenomegaly and collateral circulation, resulting in esophageal varices and/or hemorrhoids; PH may be intra- or extrahepatic, and is often due to cirrhosis, or rarely portal vein disease, venous thrombosis, tumors or abscesses
Pulmonary hypertension A condition defined as a 'wedge' systolic/diastolic pressure > 30/20 mm Hg–Normal: 18-25/12-16 mm Hg, often secondary to blood stasis in peripheral circulation, divided into passive, hyperkinetic, vasoocclusive, vasoconstrictive and secondary forms. See Pulmonary HTN.
Renovascular hypertension see there.
Secondary hypertension
Aging
Cardiovascular Open heart surgery, coarctation of aorta, ↑ cardiac output–anemia, thyrotoxicosis, aortic valve insufficiency
Cerebral ↑ Intracranial pressure
Endocrine Mineralocorticoid excess, congenital adrenal hyperplasia, glucocorticoid excess, eg Cushing syndrome, hyperparathyroidism, acromegaly
Gynecologic Pregnancy, oral contraceptives
Neoplasia Renin-secreting tumors, pheochromocytoma
• ↓ Peripheral vascular resistance AV shunts, Paget's disease of bone, beri-beri
Renal disease Vascular, parenchymal

car·di·o·vas·cu·lar

(kahr'dē-ō-vas'kyū-lăr) [TA]
Relating to the heart and the blood vessels or circulation.
Synonym(s): cardiovasculare.
[cardio- + L. vasculum, vessel]

cardiovascular

Relating to the heart and its connected closed circulatory system of blood vessels (arteries, arterioles, capillaries, venules and veins).

Cardiovascular

Having to do with the heart and blood vessels.

car·di·o·vas·cu·lar

(CV) (kahr'dē-ō-vas'kyū-lăr) [TA]
Relating to heart and blood vessels or circulation.
[cardio- + L. vasculum, vessel]
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