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A 60-year-old woman with a history of obesity and DM 2 has experienced a…

- - - - Superior vena cava
      - Inferior vena cave
      - Right pulmonary veins
      - Left pulmonary veins
    - - Ascending aorta
        
        Aortic arch
        
        descending aorta
      - Left pulmonary artery
      - Left coronary artery
      - Circumflex artery
      - Anterior interventricular artery
      - Right pulmonary artery
        
        branches of right pulmonary artery
      - Right coronary artery ( in coronary sulcus)
      - Right marginal artery
    - - Right ventricle
      - Left ventricle
      - Right atrium
      - Left atrium
    - - Pulmonary semilunar valve
      - Right AV valve
      - Aortic semilunar valve
      - Left AV valve
    - - Ligamentum arteriosum
      - Tendinous cords
      - Interventricular septum
      - Pericardial sac
      - Pericardial cavity
      - Right auricle
      - Pulmonary trunk
      - Interatrial septum
      - Fossa ovalis
      - Pectinate muscle
      - Papillary muscles
  - - - travels to the right atrium
        
        blood travels through tricuspid valve
        
        then to the right ventricle
        
        blood passes through pulmonary semilunar valve
        
        through the pulmonary trunk
        
        blood travels through the pulmonary arteries ( there are two )
        
        1 more item...
  - - - closing of AV valves
    - - closing of SL vavles
  - - - indicates how much pressure your blood is exerting against artery walls when the heart contracts
    - - indicates how much pressure your blood is exerting against artery walls when the heart is relaxing between beats
- - - - damage to papillary muscle of left ventricle
        
        resulting in a failure of the mitral valve to close
  - - - Breathing rate is 30 breaths per minuet
      - Gurgling sounds heard with stethoscope
- - - - less blood is pumping forward with each beat
      - blood is pumping backwards
    - - left ventricle will become weaker and weaker
    - - blood and fluid back up into lungs
        
        causes pulmonary edema
        
        leads to shortness of breath
        
        can eventually lead to increased pressure in the pulmonary artery if left untreated
        
        untreated pressure in the pulmonary artery can cause the right ventricle to become weak as well
        
        lack of treatment can be fatal
  - - - increased pressure in the left atrium can increase pressure in the veins from the lungs to heart
        
        if regurgitation is serve increased pressure may cause fluid build up in the lungs
        
        this causes shortness of breath and difficulty breathing
    - - decreased blood flow from the heart lowers the amount of oxygen getting to the kidneys
        
        decreased oxygen to the kidneys causes malfunction and the kidneys can not remove excess fluid and waste from blood
        
        this can lead to kidney failure
    - - imbalances of the autonomic nervous system
        
        leads to aniexty
        
        panic attacks
        
        depression