STEP 2 CK Content Outline

Cardiovascular Disorders

Health and Health Maintenance

  • Arterial hypertension
  • Atherosclerosis and coronary artery disease; hyperlipidemia
  • Prevention of rheumatic heart disease, thromboembolic disease, pulmonary emboli, bacterial endocarditis

Mechanisms of Disease

  • Cardiac output, resistance, central venous pressure
  • Valvular stenosis, incompetence
  • Congenital heart disease
  • Regulation of blood pressure
  • Disorders of the arteries and veins

Diagnosis

  • Dysrhythmias; palpitations, syncope (eg, premature beats; paroxysmal tachycardias; atrial flutter and fibrillation; bradycardias; ventricular fibrillation; cardiac arrest)
  • Heart failure (congestive, diastolic, systolic dysfunction), dyspnea, fatigue, peripheral edema of cardiac origin (eg, chronic heart failure; cor pulmonale)
  • Ischemic heart disease; chest pain of cardiac origin (eg, angina pectoris; coronary insufficiency; myocardial infarction)
  • Diseases of the myocardium (eg, hypertrophic; myocarditis)
  • Diseases of the pericardium (eg, acute pericarditis; chronic constrictive pericardiopathy; pericardial effusion; pericardial tamponade)
  • Valvular heart disease (eg, acute rheumatic fever; mitral and aortic valve disorders; infective endocarditis)
  • Congenital cardiovascular disease (eg, patent ductus arteriosus; atrial septal defect; ventricular septal defect; endocardial cushion defect; tetralogy of Fallot; coarctation of the aorta)
  • Systemic hypotension, hypovolemia, cardiogenic shock; cyanosis
  • Arterial hypertension (eg, essential; secondary)
  • Atherosclerosis - lipoproteins
  • Disorders of the great vessels (eg, dissecting aortic aneurysm; ruptured aneurysm; aortoiliac disease)
  • Peripheral arterial vascular diseases, vasculitis (eg, polyarteritis; temporal arteritis; arteriovenous fistula)
  • Diseases of the veins, peripheral edema (eg, varicose veins; thrombophlebitis; deep venous thrombosis)
  • Traumatic injury

Principles of Management
(With emphasis on topics covered in Diagnosis)

  • Pharmacotherapy only
  • Management decision (treatment/diagnosis steps)
  • Treatment only