2.8.2013 Flashcards
Adverse prognostic factors in stable ischemic heart disease
H/O previous MI recent episode of unstable angina/new onset angina EF<50% HT,DM,dyslipidemia Increasing age Family h/o CAD
FFR
Fractional flow reserve
________ is a powerful predictor of short and longterm course of SIHD
LV function
Intermediate and high risk groups in SIHD based on EF
Intermediate- 35 to 49%
High - less than 35%
Maximum anti ischemia therapy
Atleast two classes were used
Which is preferred for restenosis after CABG?
repeat CABG or PCI
PCI
Hybrid coronary revascularisation
LIMA for LAD
PCI of other stenosed coronary arteries
Role of dual anti platelet therapy in chronic stable angina
No role
Clopidogrel is given only for aspirin allergic pts
Nicorandil is useful for
Microvascular angina
BP control in SIHD
Less than 140/90
Less than 130/80 in diabetics and CKD pts
Aggressive control(120/80) in young pts and hypertensives of short duration
Effect of PUFA on cholesterol
Decreases both LDL and HDL
MUFA doesnot reduce HDL
Lipid therapy in SIHD
High risk(risk factors or CAD equivalents are present) LDL less than 100 Non HDL C less than 130 Very high risk(ACS or established CAD) LDL less than 70 Non HDL C less than 100
Goal HbA1C in SIHD
Less than 7%
Role of ACE inhibitors in SIHD
EF less than 40%
CKD
DM
Rx of refractory angina
Enhanced external counterpulsation
Spinal cord stimulation