angia terms Flashcards
what layer of the heart does chest pain occur?
myocardium
what is ischemia?
damaged cell/tissue disease (due to lack of O2)
what occurs first in a MI?
plaque build up and then rupture
chronic stable angina is?
pain in chest short term and goes away (due to atherosclerosis)
unstable angina is?
chest pain occurs and beginning even at rest (early stable of progressive CAD)
vasospatic angina is?
constant pain (due to spasms in muscles)
which chest pain can u see on a ECG?
vasopastic angina
what is vasospatic angia also called?
prinzmetal angina / variant angina
what is another word for unstable angina?
preinfarction angina
what is the first treatment for chest pain?
nitroglycerin
common side effect for nitroglycerin?
headache, low bp, decrease preload
what medication can work for hypertension and chest pain?
CCB (calcium channel blockers) beta adrenergics
what can nitroglycerin also be used for?
hypertension
if ten mintues have passed, how many tablets of nitroglycerin have u given?
3 (0 min=1 tab, 5 mins= 2 tabs, 10 mins= 3 tabs)
what is M.O.N.A
morphine, o2, nitroglycerin, aspirin.
morphine also cause>
vasodilation
aspsirin is a?
antiplatelet (stops formation of blood clot)
what are the 3 arteries on the outside of the heart?
-LAD (Left Anterior Descending Artery)
-LCX (Left Circumflex Artery)
what 2 meds (that are nitrates) do not have a first pass?
isorbide dinitrate and isosrbide mononitrate
what is the mechanism of action for nitroglycerin?
vasodilation
Therapeutic affect of nitroglycerin?
↓ preload, ↓ myocardial oxygen demand, and ↑ oxygen delivery
for ANTI-anginal drugs: what does nitrates do to the blood flow?
decrease bp
for ANTI-anginal drugs: what does nitrates do to the demand?
decrease preload, increases HR a bit
for ANTI-anginal drugs: what does beta blockers do to the blood flow?
increases and SUPER increases duration of diastole
