2 - Cardiovascular Review Flashcards

1
Q

What is CAD?

A

Coronary artery disease

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2
Q

What other past histories would suggest that a patient has CAD?

A

MI, Angina, CABG, Stent, Angioplasty

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3
Q

Does a PMHx of CVA mean the patient has CAD?

A

No

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4
Q

Does a surgical history of angioplasty mean the patient has CAD?

A

Yes

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5
Q

Explain the difference between CAD and an MI

A

CAD is a broad term for heart disease. MI is included in CAD. It’s an active heart attack.

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6
Q

If someone has PMHx of A-Fib or CHF, do they also have CAD?

A

No

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7
Q

What are the “cardiac risk factors?”

A

HTN, DM, HLD, CAD, smoking, FHx CAD < 55 y/o

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8
Q

How is CAD diagnosed?

A

By a cardiologist during a cardiac catheterization. Not done in the ED.

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9
Q

Name two ways that an MI can be diagnosed?

A

STEMI- EKG, Non-STEMI- Troponin

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10
Q

What are some associated symptoms of an MI other than CP?

A

N/V, SOB, diaphoresis

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11
Q

What are some associated symptoms for CHF?

A

SOB (orthopnea, PND, DOE), pedal edema

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12
Q

What 2 studies would diagnose CHF?

A

CXR or elevated BNP

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13
Q

What is A-FIb?

A

Electrical abnormality of the heart causing the top of the heart to quiver

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14
Q

What might someone feel with A-Fib?

A

Palpitations, fast pounding, irregular heartbeat

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15
Q

How is A-Fib diagnosed?

A

EKG

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16
Q

What could be the the CC of some with PE?

A

Pleuritic CP or SOB

17
Q

What are the risk factors for a PE?

A

Known DVT, PMHx of DVT or PE, FHx of DVT or PE, recent surgery, CA, A-Fib, immobility, pregnancy, BCP, smoking

18
Q

What study would diagnose a PE?

A

CTA chest/VQ scan. D-Dimer can only rule it out

19
Q

What part of the heart does CAD affect; arteries, veins, or nerves?

A

Arteries

20
Q

Can a CT chest without IV contrast diagnose a PE? Why or why not?

A

No. Contrast in the vessels (IV) helps clearly see a blockage