Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Cardiovascular Week 4 2016/17 > 3: Ischaemic heart disease & medical treatment > Flashcards

3: Ischaemic heart disease & medical treatment Flashcards

1
Q

Coronary heart disease is a common cause of ___ death.

A

premature

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

50% of coronary heart disease deaths are ___.

A

sudden

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Worryingly, 2/3rds of sudden deaths are the (first/second/third) manifestation of coronary heart disease in individuals.

A

first

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is an alternative name for coronary heart disease?

A

Ischaemic heart disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Sudden death in CHD can occur due to ___ which leads to cardiac arrest.

A

arrhythmia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is cardiac arrest?

A

Failure of the heart to pump blood around the body

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is cardiogenic shock?

A

Inadequate systemic perfusion as a result of cardiac dysfunction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Cardiogenic shock is a consequence of acute __ __.

A

myocardial infarction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

If acute coronary heart disease (e.g MI, arrythmia) is treated quickly, patients can go on to live a __ life with a __ quality of life.

A

long , good

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Coronary heart disease is much more common in (rural / industrial) areas.

A

industrial

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Name a common symptom of CHD.

A

Chest pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

___ is a clinical diagnosis of chest pain.

A

Angina

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Even though tests can identify obstructive coronary lesions, ___ is the clinical diagnosis.

A

angina

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Which test are you likely to have if you present at a clinic with chest pain?

A

Coronary angiogram

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Why do patients get anginal chest pain?

A

Myocardial hypoxia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Anginal chest pain is (difficult / easy) for patients to describe.

A

difficult

17
Q

Patients may use characteristic ___ to describe their angina to you.

A

gestures

18
Q

A patient experiences chest pain, while walking up a hill, which disappears after 30 seconds to a minute. What kind of pain is this?

A

Stable anginal chest pain

19
Q

If a patient’s chest pain does not go away after 2 minutes, what are the two possibilities?

A
  1. They are having a heart attack
  2. It’s not related to the heart
20
Q

What are some characteristics of anginal chest pain?

A

Pressing, squeezing, heaviness, a weight

21
Q

Where can anginal chest pain radiate?

A

Arms, back, neck, jaw, teeth

22
Q

What can anginal chest pain be associated with?

A

Exertion, stress, cold wind, after meals

23
Q

What may relieve anginal chest pain?

A

Rest, GTN spray

24
Q

Symptoms associated with chest pain may be coming from which other systems (see slides for more info)?

A

GI tract

Musculoskeletal

Other cardiovascular causes (pericarditis)

Respiratory (pleuritic chest pain)

25
Q

What is pericarditis?

A

Inflammation of the pericardium

26
Q

Name three acute emergency causes of chest pain.

A

Myocardial infarction (sense of impending doom, ongoing pain despite loads of morphine)

Pulmonary embolism (breathlessness, dull)

Dissection of aorta (tearing, excruciating, severe then eases)

27
Q

What is the cause of a tearing, excruciating pain associated with high blood pressure?

A

Dissection (of aorta)

28
Q

What type of pain is a clinical diagnosis of CHD?

A

Angina (chest pain)

29
Q

What are the advantages of using an exercise ECG to diagnose CHD?

A

Cheap

Reproducible

30
Q

What investigation involves giving the patient a radioactive tracer and examining where it travels in heart tissue, based on blood supply?

A

Perfusion scanning

31
Q

What investigation involves giving the patient a radioactive tracer and using a CT scanner to examine their coronary arteries?

A

CT angiography

32
Q

What gold-standard investigation involves inserting a camera into arteries to identify CHD?

A

Angiography

33
Q

How is the risk of death reduced in someone with CHD?

A

Drugs

Lifestyle changes

Revascularisation

34
Q

What is the biggest lifestyle recommendation you can give to someone to reduce their risk of CHD?

A

Stop smoking

(Take exercise, eat a good diet)

35
Q

If someone presented with chest pain, what would you diagnose them with?

A

Angina

36
Q

Can someone have coronary disease without angina and vice versa?

A

Yes

37
Q

The presence of CHD can be suggested or confirmed by ___.

A

tests

38
Q

Which vessel is commonly occluded in an acute MI?

A

Left anterior descending

Cardiovascular Week 4 2016/17 (7 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions