1. Angina & Dysrhythmias

2. A & P OF THE CARDIAC SYSTEM Cardiac output  CO=SV(stroke volume) X HR(heart rate) Preload  Volume of blood in the ventricles at the end of diastole Afterload  Peripheral resistance against which the left ventricle must pump. Affected by the size of the ventricle, wall tension and arterial blood pressure.

4. ANGINA PECTORIS Definitions Signs and Symptoms Stable vs Unstable Silent Ischemia Precipitating factors Diagnostic studies

5. Lewis Page 812 Precipitating Factors of Angina PRECIPITATING FACTORS OF ANGINA

6. CARDIAC DRUGS Nitrates Beta Blockers Calcium Channel blockers Ace inhibitors

7. Lewis fig 33-13 Decision tree Collaborative care Coronary Artery Disease Collaborative care decision tree

8. MYOCARDIAL INFARCTION Definition Signs and Symptoms Complications Diagnostics PTCA (Percutaneous Coronary Angioplasty) CABG (Coronary Artery Bypass)

9. MYOCARDIAL INFARCTION

10. NURSING DIAGNOSIS Acute pain Ineffective Tissue perfusion (cardiac) Anxiety Activity intolerance Ineffective Therapeutic regimen management

11. PTCA

12. CORONARY ARTERY BYPASS GRAFT

14. CARDIOMYOPHATHY Dilated (congestive) Hypertrophic

15. Types of cardiomyopathies See differences in ventricle muscles Types of Cardiomyopathies

16. CARDIAC TRANSPLANT Drug therapies Lifestyle changes Support Systems Teaching

17. INFLAMMATORY HEART DISEASE NURSING DIAGNOSIS Hyperthermia Decreased Cardiac Output Activity Intolerance Ineffective Health Maintenance Pain Anxiety

18. Layers of the heart Page 886

19. INFLAMMATORY HEART DISEASES Infective Endocarditis  Clinical manifestations  Diagnostic studies

20. INFLAMMATORY HEART DISEASE ACUTE PERICARDITIS  Etiology and Pathophysiology  Clinical Manifestations  Complications  Collaborative Care

21. MYOCARDITIS Etiology Clinical Manifestations Diagnostic Studies Nursing Management

23. VALVULAR DISEASE

24. NURSING DIAGNOSIS Activity Intolerance Excess Fluid Volume Decreased Cardiac Output Ineffective Therapeutic Regimen Management

25. MITRAL VALVE Stenosis and Regurgitant

26. MITRAL VALVE STENOSIS Etiology Clinical Manifestations Teaching Diagnostic findings  ECG  Echocardiogram  Cardiac Catheterization

27. RELATIONSHIP OF ECG TO CARDIAC CYCLE Page 767, Chapter 31

28. ATRIAL STENOSIS & REGURGIATION Etiology Clinical Manifestation Diagnostic Findings  ECG  Echocardiogram  Cardiac Catheterization

29. VALVULAR HEART DISEASE COLLABORATIVE CARE (PTBV) Percutaneous transluminal balloon valvuplasty Surgical therapy

30. TYPES OF PROSTHETIC AND TISSUE VALVES

32. ARRHYTHMIAS

33. ELECTRICAL BASIS FOR ECG

34. Chapter 31, pages 758 & 759 Normal sinus rhythm NORMAL SINUS RHYTHM

35. ELECTRICAL BASIS FOR ECG

36. NORMAL SINUS RHYTHM TIMING Page 865

37. Normal Sinus Rhythm in Lead II Artifact, loose leads or movement Rate of conduction systems NSR, ARTIFACT, CONDUCTION SYSTEM RATES

38. Calculating Rhythm and Rate Using 6 second cardiac strip

39. REGULAR RHYTHM & RATE

40. Sinus bradycardia Sinus Tachycardia Premature Atrial Contraction (PAC) Paroxysmal SVT SINUS BRADYCARDIA TACHYCARDIA, PAC, SVT

41. HEART BLOCKS PAGE 871

42. Atrial Flutter Atrial Fibrillation Page 870 What medications would you anticipate the patient to be taking chronically for this rhythm? Why? ATRIAL FLUTTER AND FIBRILLATION

43. Multifocal PVC PVC’s couplets, runs PVC bigeminy PVC Trigeminy What would you assess first? PVC, BIGEMINY, TRIGEMINY

44. Ventricular Tachycardia Ventricular Fibrillation Page 873 V-TACH, V-FIB

45. Pulseless Electrical Activity

46. PORTABLE MONITOR Contains Monitor, Defibrillator, Transcutaneous Pacemaker, Page 875

47. Placement of defibrillation pads

48. Implantable Defibrillator (ICD) and Dual Chamber Pacemaker

49. Temporary Pacemaker Insertion