Cardio Flashcards
What medications would you give to stent patients
To prevent stent thrombosis, give dual
- Aspirin
- Platelet P2Y12 receptor blockers (clopidogrel, prasugrel, ticagrelor)
Premature discontinuation of these is the strongest predictor of stent thrombosis within first 12 months
side effects of Ticlopidine
neutropenia and TTP
patient with ACS should receive what upon arrival
asprin + (clopidogrel, prasugrel or ticagrelor)
when not to use Prasugrel?
patients 75 and older because of increased risk of hemorrhagic stroke
best mortality benefits in chronic angina
aspirin and BB
what is the most accurate method of detecting coronary artery disease?
Angiography
when to use Holter monitor
rhythm disorders
- does not detect ischemia and is not accurate for ST segment detection
nitroglycerin in chronic angina ROUTE
oral or trasdermal
nitroglycerin in ACS
sublingual, paste or IV
work up for patient with chest pain
Resting EKG
- Nothing? –> do exercise stress test if can do exercise. if not, do chemical (Dipyridamole thallium or dotutamine echo)
- YES EKG – > stress echo or nuclear stress test
if exercise, chemical, or stress echo positive –> do angiography
- if 1 or 2 vessel –> stent
- 3 or L main or 2 vessel disease in diabetes –> CABG
drug increasing digoxin toxicity
amiodarone
verapamil
quinidine
propafenone
most common side effects of statins
hepatic! (increased trasaminases)
less common is myositis
niacin side effects
elevate glucose, uric acid and pruitis
what if used with statins, increase in myositis
fibric acid derivatives: gemfibrozil
SE of cholestyramine
flatus and abdominal cramping
