Special Cardiovascular & Pulmonary Test & Surgical Interventions
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36 terms
Terms | Definitions |
|---|---|
 Cardiac catheterization-purpose | defines cardiac hemodynamics, flow, pressure, valves; accesses for surgical indications/location of cardiac defect |
| Cardiac catheterization-comments | Invasive test; catheter thread via femoral or brachial artery to heart chambers |
| Angiography-purpose | Measures cardiac pressure, resistance, flow, O2 consumption, A-VO2 diff., EF, CO; pulmonary embolism |
| Angiography-comments | Uses contract-dye injection into system |
| Bronchoscopy-purpose | Visualization of trachea and major subdivions via fiberoptic, flexible tube |
| Bronchoscopy-comments | Patinet is mildly sedated |
| Electrophysiologic Mapping Studies (EPS)-purpose | Induces arrhythmia to identify specific area where arrhythmia orginates |
| Electrophysiologic Mapping Studies (EPS)-comments | Able to determine medications that can restore normal rhythm |
| Ablation Procedure-purpose | Cauterization of cardiac area that is site of arrhythmia nonresponsive to medication |
| Implantable Cardiac Defibrillator (ICD)-purpose | Implantable device used for cardiac rhythm control |
| Stress Test with Nuclear Imaging (e.g., thallium)-purpose | Evaluated cardiac perfusion |
| Stress Test with Nuclear Imaging (e.g., thallium)-comments | Thallium administered intravenously; used with exercise stress studies |
| Echocardiography (Doppler)-purpose | Evaluates myocardial structure, blood flow, function |
| Echocardiography (Doppler)-comments | Noninvasive; used with exercise stree studies |
| Halter Monitor-purpose | 24-hour electrocardiographic monitor of heart rhythm |
| Halter Monitor-comments | Provides data to determin HR response to activity |
| Arterectomy-purpose | Removal of plaque in occluded artery (e.g., carotid) |
| Arterectomy-comments | Invasive procedure; may be performed as minimally invasive procedure |
| Left Ventricular Assistive Device (LVAD)-purpose | Temporary prostheric heart-pumping device |
| Left Ventricular Assistive Device (LVAD)-comments | For those awaiting transplant or return of LV function |
| Pacemaker-purpose | Electronic pulse generator used to control cardiac arrhythmia |
| Pacemaker-comments | May be temporary or permanent |
| Implantable Cardioverter Defibrillator-purpose | Implantable device that detects and corrects life-threatening arrhythmia |
| Implantable Cardioverter Defibrillator-comments | Candidates include those with LV ejection fraction<30% |
| V-Q Scan-purpose | Measures region of decreased polmonary perfusion/ventilation |
| V-Q Scan-comments | Diagnoses pulmonary embolism |
| Percutaneous Transluminal Coronary Angioplasty (PTCA)-purpose | Insertion of a ballon-equipped catheter via peripheral artery to open coronary artery stenotic lesion |
| Percutaneous Transluminal Coronary Angioplasty (PTCA)-comments | Medicated stents may be used to increase luminal diameter and maintain angioplasty stie opening |
| Coronary Artery Bypass Graft (CABG)-purpose | Grafts used to revascularize myocardium when PTCA not applicable; may be done as minimally invasive or off-pump procedure |
| Coronary Artery Bypass Graft (CABG)-comments | Grafts taken from saphenous veins or mamary artery; sternotomy precautions used post-op with open procedure |
| Valve Replacement-purpose | Repair or replacement of faulth heart valves |
| Valve Replacement-comments | Invasive procedure; may be done as minimally invasive procedure |
| Hear/Lung Transplants-purpose | Replacement of heart and/or lungs |
| Hear/Lung Transplants-comments | For end-stage disease |
| Thoracotomy-purpose | Posterolateral, anterolateral, lateral, axillary chest incisions used for pulmonary surgical procedures |
| Thoracotomy-comments | Cardiothoracic procedures generally performed through median sternotomy |
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