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IM > Cardio - ISHD > Flashcards

Cardio - ISHD Flashcards

1
Q

Chronic coronary $ =

A

stable angina : <15min , inc by effort , dec by SLN

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2
Q

Acute coronary =

A

unstable angina , sub-endocardial infarction(non STEMI) , transmural infarction (STEMI)

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3
Q

Unstable angina :

A

<1hr , at rest , poor response to SLN

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4
Q

sub-endocardial infarction(non STEMI) , transmural infarction (STEMI) :

A

> 1hr , no response to SLN , sweating , pallor, Angor animi

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5
Q

ECG :
stable&raquo_space; ……………. |unstable + Non STEMI&raquo_space; ………….. + …………| STEMI&raquo_space;………………………

A

stable&raquo_space; ST depression |unstable + Non STEMI&raquo_space; ST depression + inverted T | STEMI&raquo_space; ST elevation

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6
Q

ECG IN STEMI : …………. , ………………. , ……………………

A

hyper acute T , elevated ST , inverted T wave

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7
Q

Earliest sign in STEMI In ECG : …………………..

A

hyper acute T wave

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8
Q

Cardiac markers in : stable + unstable&raquo_space; ……………….. | Non STEMI + STEMI&raquo_space; ……………..

A

stable + unstable&raquo_space; negative | Non STEMI + STEMI&raquo_space; positive

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9
Q

TTT :
stable&raquo_space; ……………… | unstable&raquo_space; …………………… | Non STEMI + STEMI&raquo_space; ……………………….

A

stable&raquo_space; antiplatelets | unstable&raquo_space; Anticoagulants till revascularization | Non STEMI + STEMI&raquo_space; immediate reperfusion

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10
Q

Most common early complication of MI&raquo_space; ………………………………………

A

arrhythmia ( extra-systole )

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11
Q

Most fetal early complication of MI&raquo_space; ……………….

A

ventricle fibrillation

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12
Q

early complication of MI (2-3days) : …………….. , …………………. , ……………….. , ……………………

A

arrhythmia , ventricle fibrillation , shock(neurogenic,cardiogenic), pericarditis

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13
Q

later complications of MI (3-5days): …………….. , …………… , …………… , ………. , ……………….

A

re angina , re infarction , impaired contraction , stasis , tissue necrosis

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14
Q

Late complications of MI (weeks ): ………… , ………….. ,, …………………..

A

Dressler $ , Frozen shoulder $ , ventricular aneurysm

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15
Q

Acute coronary $ sign of old infarction :: ………………………….

A

pathological Q wave ( persist for years )

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16
Q

Different between anginal pain and MI : MI&raquo_space; …………………………………..

A

more sever prolonged, not response to SLN

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17
Q

Saliant MI in : …………… , ………………. ,…………… , …………………….. ., …………….. , …………..

A

diabetic neuropathy , old age , post transplantation, coma, under general anesthesia

18
Q

Persistent elevation of ST segment > 6 weeks = ………………………….

A

myocardial aneurysm

19
Q

First cardiac biomarker elevated in MI : …………………………….

A

Alpha- myoglobin (2hrs)

20
Q

Most specific cardiac biomarker for recent MI : ………………………

A

Treponine

21
Q

First Enzyme elevated in recent MI & most specific enzyme : ……………….

A

CPK-MB

22
Q

Most common occluded artery is&raquo_space; ………………..

A

left anterior descending artery

23
Q

Maximum doses of SLN&raquo_space; …..

A

3

24
Q

Prevention of anginal attacks : …………….. , ……………….. , …………….

A

Anti-anginal agents , anti-platelets, anticoagulant for unstable angina

25
Q

Anti-anginal agents : ………. , ………. ,………………..

A

Nitrates , B-blockers ,CCB

26
Q

Nitrates : …………………

A

iso-sorbide dinitrate 10mg(long acting) 3\day

27
Q

MOA of Nitrates :

A

veno-dilator» dec preload = dec O2 demand

28
Q

Side effects of Nitrates : …………… , …………………. , ……………. , ……………… ,………………..

A

Headache, orthostatic hypotension, tachyphylaxis , methemoglobinemia, #with PDEL-5 sildenafil

29
Q

B-blockers :

A

Atenolol 100mg\day

30
Q

MOA of BB&raquo_space; ………………..

A

dec heart rate = dec O2 demand

31
Q

CCB: …………………..

A

Verapamil 40 mg 3\day

32
Q

MOA of CCB : …………………

A

coronary VD = inc supply

33
Q

Anti-platelets : ………………

A

Aspirin 75mg \day + statins 10mg\day

34
Q

Rt. Coronary&raquo_space; ……….. wall & …………… | ST …………….. in : …………… | ST depression : …………………….

A

Inferior wall & SAN | ST elevation in : II III AVF | ST depression : I AVL

35
Q

Circumflex artery&raquo_space; …………. wall | ST elevation in : ………………| ST depression : ………………

A

lateral wall | ST elevation in : I AVL V5 V6 | ST depression : inferior leads

36
Q

Left anterior descending artery&raquo_space; ………… & ………….. wall | ST …………………. : in V3 V4

A

septal & anterior wall | ST elevation : V3 V4

37
Q

MI caused&raquo_space; …………………..

A

mitral incompetence

38
Q

Absolute # of thrombolytics in MI&raquo_space; ……………. , ……………. , ……………… , ………………..

A

CNS stroke or surgery , BP>185\110 , aortic dissection , active bleeding , (for streptokinase >prior use in the last 6mns)

39
Q

Relative # of thrombolytics in MI&raquo_space; ………………. , ………………… , ………………

A

prolonged CRP >10min, current use of anticoagulant, active peptic ulcer

40
Q
A

IM (4 decks)

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