Cardio Flashcards
(30 cards)
LDL goal in CAD
less than 100
use of stress test
- confirm angina
- evaluate therapy
- people with CAD to evaluate risk
radioisotope test
working myocardium takes up dye
drugs used for stress test
- adenosine or dipyridamole (cause vasodilation of maximally dilated vessels)
- dobutamine (increases demand)
Holter monitor
ambulatory ECG
standard of care for stable angina
beta blocker, aspirin and nitrates for chest pain (secondary are CCBs)
beta blockers for CAD
metoprolol and atenolol
angioplasty is also known as….
percutaneous coronary intervention
difference between NSTEMI and USA
cardiac enzymes
treatment of USA/MI
- aspirin
- clopidegrel - 9-12 months
- beta blocker
- LMWH for 2 days (enoxaparin)
- nitrates
- O2
- abciximab and tirofiban
long term USA treatment
aspirin, bblocker, nitrate, statin
drugs to provoke prinzmetal
ergonovine or acetylcholine (provoke vasoconstriction)
side of MI radiation
usually left (can be right in female)
things to avoid in right sided MI
nitrates and diuretics (cant reduce preload)
anterior ECG changes
- ST elevations in V1-V4
- Q waves in V1-V4 late
posterior ECG changes
- large R in V1/V2
- ST depression in V1/V2
- upright T waves in V1/V2
cardiac enzymes in renal failure
can be falsely elevated
use of CK-MB
measure reinfarction
reduce mortality in MI
aspirin, beta blockers and ACEi
beta blocker that reduces risk of death in MI
carvedilol
contraindications to thrombolytics
- trauma
- previous stroke
- recent surgery
- dissecting aneurysm
- bleeding
treatment for second degree heart block after MI
atropine
contraindication in pericarditis after MI
NSAIDS and corticosteroids
high output heart failure conditions
- anemia
- pregnancy
- hyperthyroid
- AV fistulas
- wet beriberi
- Paget
- MR
- aortic insufficiency
