Cardiology Medstudy Flashcards
what are the 3 basics of the 2017 HTN guidelines
when would you suspect secondary causes of HTN?
what suggests:
- Renovascular HTN?
- Primary aldosteronism?
- pheochromocytoma?
what’s the difference between stable or unstable angina?
what is the MCC of ACS?
plaque rupture or erosion with superimposed thrombus is the MC trigger for ACS
what ist he most important prognostic factors in patients with CAD?
Degree of LV dysfunction.
If severe, often reflects multivessel or left main/left main-equivalent disease
what is the cause of prinzmental angina?
Define the following:
- microvascular angina
- Hibernating myocardium
- reperfusion injury
- stunned myocardium
- Treatment of all angina?
what causes resting ST segment elevation?
what are the main agents used to treat angina? MOA?
which antianginal drugs decrease preload, afterload, and myocardial O2 demand?
who needs an echo with chronic stable angina?
what is the medical therapy for chronic stable angina?
what recommendations for chronic stable angina?
what should not be used for CVD prevention in women? (supplements)
unique aspects of CVD in women?
what’s the difference between angina and MI?
describe coronary stenosis vs intracoronary thrombus as a cause of angina?
what are the 4 diagnoses that should never be missed with chest pain?
which groups of patients are most likely to present with MI w/o chest pain?
what are common post-complicatoins of MIs? (generally)
how are troponins I and T used? how long do they stay elevated after MIs? CKMBs?
how often should you measure troponins after suspected ACS? what can chronically elevate troponins?
what are the pre-hospital guidelines for chest pain?
what do you do as part of early assessment for possible ACS?
Once early assessment conducted, what are the 3 groups you should assign based on the ACC/AHA protocol?
what is the acute ischemic pathway (UA/NSTEMI)?
what are the management goals in ACS?
what are teh general antiischemic measures for all patients with an ACS?
what are the platelet options for ACS?
what is the duration of the DAPT?
what is the doses of the P2Y12 receptor inhibitors?
when did you give fibrinolytic therapy in ACS?
what are the indications for invasive therapy in NSTE-ACS?
what is the duration of DAPT after NSTE-ACS?
what is the ischemia guided therapy for NSTE-ACS patients ?
what is the acute MI treatment pathway with STEMI?
what are the absolute and relative contraindications to fibrinolytic therapy?
how would you treat a cocaine and methamphetamine user with STEMI?
how would you manage LV dysfunction after MI?
what are signs of Right ventricular infarction?
what is the management of Right ventricular infarction?
what are the mechanial complications after MI?
when do you need ICD therapy after STEMI?
when is CABG or PCI recommended?
in what conditions does CABG improve symptoms and survival?
what are the main points for CABG vs PCI for stable CAD?
what lab tests should a general cholesterol screening entail?
describe the lipoprotein pathway
describe chylomicrons?
describe VLDL and IDLs?
when are LDL down-regulated or upregulated?
basics of LDL?
what is LpA?
what does HDL contain? what is the cause of the low HDL?
