Cardiopatia isquemica Flashcards

1
Q

Causa principal de cardiopatia isquemica

A

Ateroesclerosis de las coronarias

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2
Q

Como se manifiesta en el EKG una oclusión completa de la placa de ateroma?

A

SCA con ascenso persistente del segmento ST

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3
Q

Principal marcador de riesgo para las enfermedades cardiovasculares

A

Edad

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4
Q

Principal predictor para cardiopatia isquemica

A

Colesterol serico

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5
Q

Prueba de elección de isquemia

A

Ergometria o prueba de esfuerzo

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6
Q

Fármaco de elección cuando esta contraindicado el AAS

A

Clopidogrel

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7
Q

Antianginosos de elección

A

Betabloqueantes

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8
Q

Que sugieren los cambios en la onda T?

A

Isquemia

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9
Q

Marcador de daño miocardico de eleccion

A

Troponina cardioespecifica

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10
Q

Causa mas frecuente de IAM

A

Trombosis coronaria epicardica

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11
Q

Donde puede estar el infarto si al ECG tenemos onda T positivas picudas + ST descendido?

A

Lesion subendocardica

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12
Q

Donde puede estar el infarto si al ECG tenemos onda T negativa + ST elevado?

A

Lesion subepicardica o transmural

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13
Q

Fármacos que no debemos emplear en infarto de VD

A

Nitratos

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14
Q

Con que podemos realizar la terapia de reperfusion en px infartados?

A

Fármacos tromboliticos o angioplastia

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15
Q

Tratamiento de elección en IAM siempre que pueda realizarse?

A

Angioplastia coronaria transluminal percutanea (ACTP)

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16
Q

Principal causa de mortalidad hospitalaria del IAM

A

Shock cardiogenico

17
Q

Triada del Infarto del VD

A

Hipotension arterial
PVY elevada
Auscultación pulmonar normal