40 - 60 yo woman with chest pain Flashcards
1
Q
how does pericarditits manifest on EKG?
A
diffuse ST elevation
2
Q
what are the 3 criteria for stable angina?
A
- substernal chest discomfort with a characteristic duration and features
- exertional in nature
- relief with rest or nitro
3
Q
according to a 2007 statement by the ACC/AHA, which is recommended first for CAD: BB or CCB?
A
BB - improved survival rates in patients with CAD
4
Q
the best patient for a stress test is one with what type of pre-test probability?
A
intermediate
5
Q
what drugs are used for pharmacologic stress test with imaging?
A
- dipyridamole or adenosine with nuclear imaging
- dobutamine with echo
6
Q
how do BBs benefit CAD?
A
decrease myocardial oxygen consumption by slowing HR and decreasing BP
7
Q
how do CCBs benefit CAD?
A
dilate coronary arteries and increase coronary blood flow while also decreasing myocardial oxygen consumption
8
Q
how do nitrate benefit CAD?
A
- primarily venodilators
- reduced preload and decrease in myocardial oxygen demand
- dilate systemic and coronary arteries
