CAD

Question 1

Major Risk Factors

Answer 1

DM, SMOKING, HTN, HYPERCHOLESTEROLEMIA,
FHX, Age >45 M Age >55 F
HDL<40
CRF

Question 2

Stable Angina Pectoris

Answer 2

Caused by atherosclerotic CAD, Blood flow<demand

Precordial Pain radiates L-arm Jaw back, relief with rest and nitro

Question 3

Stable Angina Pectoris EKG

Answer 3

ST depression & inverted T waves

Question 4

Which Pt population with Stable angina pectoris do not present with classic Sx

Answer 4

Elderly and Pts with DM-neuropathy

Question 5

Diagnosis of Stable angina Pectoris

Answer 5

CLinical based of Si/Sx and risk factors

Question 6

Confirm Diagnosis of CAD

Answer 6

Stress test or angiographu

Question 7

Angina Acute Tx

Answer 7

Sublingual Nitro- Max dose 3 xs in 15 mins w/ 5 min interval. If not relief INFARCT

Question 8

Angina tx chronic prevention

Answer 8

Isordil Long acting Nitrate- Prophylaxis
BB- dec Myocardial O2 consmption in stress
ASA- block PLT aggregation
Quite smoking
Drop LDL, Inc HDL w Diet, PA, Inc Fiber, Lose Weight

Question 9

Endovascular Intervention for Angina

Answer 9

PTCA-
Morbidity <Sx but has 50% restonosis rate
Plt GP2B-3A antagonist further reduce restonosis

Question 10

SX for angina tx

Answer 10

CABG- only if 3 vessel dz or 2 vessels in DM