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Title

Cardiovascular Disease, Part 2: Cardiac Disorders-Implications for Dialysis Care Practitioners (1 credit hours)

Abstract

Pathogenesis of cardiac disorders is described, along with the anatomy and physiology affected. Disorders covered include pericardial disorders, ischemic heart disease, valvular heart disease, and congestive heart failure. This information is important to the dialysis practitioner since multiple organ illness is experienced by many patients in dialysis therapy.

Planners, content specialists and feedback personnel have declared that there is no conflict of interest in the preparation and content of this module. There is no commercial support for or endorsement of products in this module.

Author

Dan Becker, D.D.S

Dr. Becker received his bachelor of science in zoology from Ohio University in 1968 and his doctor of dental surgery from Ohio State University in 1972. Although Dr. Becker is a dentist, his interest always centered on academia and he began teaching biology at Sinclair Community College (Dayton, OH) as a part-time instructor in the autumn of 1972. He accepted a full-time faculty position in the Dental Hygiene department in 1976, but continued his teaching within the Biology department as well.

Dr. Becker's interest in pharmacology and anesthesia attracted him to Miami Valley Hospital where he became involved with their dental residency instructing dental residents and learning from mentors during rotations within departments of anesthesia and emergency medicine. During this time, he developed and taught courses in pharmacology and pathophysiology for nursing and other allied health programs until his teaching at Sinclair became entirely devoted to these subject areas. Currently he is a full professor at Sinclair Community College and Associate Director of Education at Miami Valley Hospital. He has published in numerous scientific journals and textbooks, and lectures extensively throughout the United States and Canada.

Objectives

After studying the information presented, the reader should be able to:

Describe the pathogenesis of pericarditis, pericardial effusion and cardiac tamponade.
Describe the pathogenesis of ischemic heart disease and correlate a specific coronary lesion with each of the three principal classes of angina.
Explain the pathogenesis of acute myocardial infarction. List sequelae attributed to myocardial infarction, distinguishing those that could result in sudden cardiac death.
Name and describe three principal valvular lesions, including hemodynamic consequences associated with each.
Describe the pathogenesis of rheumatic fever and its role in valvular heart disease.
Describe the pathogenesis of infective endocarditis, and list conditions that predispose a patient to risk.
Explain the pathogenesis of heart failure, distinguishing systolic from diastolic dysfunction, and symptoms of left versus right side failure.

Resources

Brunwald E, Zipes DP, Libby P. Heart Disease: A Textbook of Cardiovascular Medicine. 6th edition. Philadelphia: W.B. Saunders Co, 2001.

Braunwald E, Fauci AS, Kasper DL, et al, Editors. Harrison's Principles of Internal Medicine. 15th edition. New York: McGraw Hill, 2001.

Goldman L, Bennett JC. Editors. Cecil Textbook of Medicine. 21st edition. Philadelphia: W.B. Saunders Co., 2001.

Guyton AC, Hall JE. Textbook of Medical Physiology. 10th edition. Philadelphia: W.B. Saunders Co, 2000.

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