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Rezi > Boala coronariana > Flashcards

Boala coronariana Flashcards

1
Q

Afectiuni ce pot duce la scaderea fluxului coronarian de sange oxigenat

A
  • anemia
  • carboxihemoglobinemia
  • hipotensiunea arteriala
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2
Q

Ordinea leziunilor in dezvoltarea aterosclerozei

A
  • stria lipidica
  • placa de tranzitie
  • placa fibroasa avansata
  • placa complicata
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3
Q

Doza de Atorvastatina pentru preventia primara respectiv pentru boala coronariana confirmata

A
  • 20 mg

- 80 mg

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4
Q

Medicamente ce pot reprezenta factori de risc modificabili pentru boala coronariana

A
  • contraceptivele orale
  • analogii de nucleozide
  • inhibitorii de cox 2
  • rosiglitazona
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5
Q

Angina vasospastica Prinzmetal

A
  • apare fara factor declansator de obicei in repaus
  • mai frecvent la femei
  • supradenivelare ST tranzitorie pe ECG in timpul durerii
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6
Q

Probele de imagistica anatomica:

A
  • coronarografie

- angio-CT coronarian

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7
Q

Probele de imagistica functionale (neinvazive)

A
  • SPECT
  • ecocardiografie de stress
  • IRM de stress
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8
Q

In ce situatii se recomanda PCI in angina:

A
  • BC univasculara
  • BC multivasculara <65 de ani
  • anatomie favorabila
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9
Q

In ce situatii se recomanda CABG in angina:

A
  • Anatomie nefavorabila
  • BC multivasculara >65 de ani
  • Diabetici
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10
Q

Reactii adverse Bisoprolol:

A
  • astenie
  • vasoconstrictie periferica
  • disfunctie sexuala
  • bronhospasm
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11
Q

Reactii adverse ale Calciu blocantelor

A
  • constipatie ( verapamil
  • edeme retromaleolare ( amlodipina si diltiazem
  • tahicardie reflexa ( amlodipina)
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12
Q

Alternative de tratament in angina stabila in caz de intoleranta la betablocante si calciu blocante:

A
  • nitrati cu actiune prelungita
  • ivabradina
  • nicorandil
  • ranolazina
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13
Q

Elemente de prognostic negativ la examenul clinic in SCA

A
  • hipotensiune
  • raluri de staza
  • zgomot de galop
  • sufluri cardiace
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14
Q

Scorul GRACE include:–

A
  • varsta
  • frecventa cardiaca
  • TAs
  • creatinina serica
  • clasa Killip la prezentare
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15
Q

Inhibitorii de gp IIb/IIIa

A

abciximab
eptifibatid
tirofiban

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16
Q

Pentru ce situatii se acorda 3 puncte in scorul de risc TIMI in STEMI

A
  • varsta peste 75 de ani

- TA sistolica <100 mmHg

17
Q

Ce cuprinde tratamentul medicamentos initial in STEMi

A
  • oxigenoterapie pe masca daca Sp O2 e <90%
  • morfina iv
  • aspirina 300 mg
18
Q

Diagnosticul de IMA nu e posibil pe ECG la pacientii cu:

A
  • ritm cardiostimular electric

- BRD major

19
Q

PCI

A

introducerea ghidului metalic distal de ocluzia trombotica in primele 60 de min de la prezentare

20
Q

Optiunile de tratament anticoagulant la pacientii tratati prin PCI

A
  • HNF
  • enoxaparina
  • bivalirudina
21
Q

Optiunile de tratament anticoagulant la cei tratati prin tromboliza sunt:

A
  • HNF
  • enoxaparina
  • fondaparinux

Rezi (4 decks)

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