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Title

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

Abstract

Basic heart anatomy is reviewed, with emphasis on the arterial walls and their correlation to the layers of the heart. Risk factors, pathology, and consequences of artherosclerosis are described, as well as pathogenesis and manifestations of transient ischemic attack and cerebrovascular accident. The module ends with a description of the pathogenesis, principle risk factors, end-organ sequelae, and criteria for diagnosis of essential hypertension. 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

Upon completion of the module, learner will be able to:

Trace a drop of blood through the heart, naming all vessels, valves and chambers.
Name the layers of arterial walls and correlate these to the layers of the heart.
Describe risk factors, pathogenesis and consequences of atherosclerosis.
Describe the pathogenesis and manifestations of transient ischemic attack and cerebrovascular accident.
Describe the pathogenesis of essential hypertension, including principal risk factors, end-organ sequelae, and criteria for diagnosis of stages.

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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