Cardio

Question 1

If NSTEMI Mx

Answer 1

Invasive coronary angiography + angioplasty + stent
CABG

Question 2

Myocardial CP with negative trop Ix

Answer 2

Pre test probability (GRACE/TIMI) —> high mortality: invasive coronary angiography
Low: CTCA

Functional tests: exercise stress, MIBI scan, stress echo, MRI

Question 3

Stable angina Rx

Answer 3

10 yr CV event risk >10% - statin
Aspirin
Anti angina (BB, nitrate, CCB, Nicorandil, ranazine, ivabradine)

If symptoms persist on 2x drugs then consider revascularization

Question 4

Pericarditis with effusion causes

Answer 4

Infective: viral, HIV, TB
Uraemia
Cancer
Autoimmune disease: RA, lupus
Prev trauma / cardiac surgery
Post MI (dressers)