Unit D

Module 7 ~ Lesson 2


Cardiovascular Disorders and Treatments


A common disorder of the circulatory system is a buildup of plaque (fat deposits) on the walls of the arteries. This disease, arteriosclerosis, has many symptoms. The patient may feel chest pain, experience shortness of breath, and have high blood pressure. If the arteries continue to reduce in size, a blockage of an artery can lead to a stroke or a heart attack. Lifestyle choices such as smoking, a lack of exercise, and high-fat diets greatly increase the risk of developing this disease.



NHLBI / Public domain
Look at the photo showing arteriosclerosis. Imagine a garden hose. What happens to the flow of water when you put your thumb over the end of the hose to make the opening smaller? Water moves with greater force. By reducing the area that a fluid moves through, you will increase pressure. This is the same principle behind increased blood pressure due to arteriosclerosis.

Some circulatory system problems are not a result of lifestyle choices. Many heart problems exist from birth and are congenital. Congenital heart defects include problems in the walls dividing the chambers of the heart and in the valves or in the structure of blood vessels around the heart. Many of these defects are detected at birth through a heart murmur, through blueness of the skin, or through technologies such as cardiac echocardiograms and cardiac catheterizations. With the advancement of technology, many of these defects are being corrected with increasing success.

An example of a congenital heart disease is mitral stenosis. The mitral valve (which you know as the left bicuspid atrioventricular valve) is narrowed. It takes more effort for the left atrium to pump the blood through the narrowed valve to the left ventricle. This causes a rise in pressure in the left atrium. The walls of the left atrium then become thickened and the atrium enlarges.

Remember that flow moves from high pressure to low pressure. A back pressure of blood may then cause blood to move backwards in the blood vessels which bring blood to the left atrium (the pulmonary veins which bring blood from the lungs). This can be identified as an extra heart sound, or murmur when a doctor uses a stethoscope. Also, the amount of blood leaving the ventricle is reduced. The heart does not pump efficiently and less blood reaches the body with each contraction, compared to a healthy heart. Some symptoms include fatigue, dizziness, or fainting.

Both arteriosclerosis and mitral stenosis can be treated by surgery. Symptoms of the diseases can be controlled by medicine. Technological advances in medicine have been refined to help people regain homeostasis in their bodies.


Read

Read "Cardiovascular Diseases and Treatments" on pages 277 to 281 of your textbook.