CHD/IHD

Question 1

what are the associated symptoms of angina

Answer 1

visceral pain - radiates to arms, back, neck, jaw

patterns of provocation, relief, timing (exertion, stress, cold)

Question 2

ways to diagnose angina

Answer 2

Exercise testing
Perfusion imaging
CT angiography
Angiography

Question 3

how can angina be treated

Answer 3

Drugs
Lifestyle
Revascularisation - CABG, PCI

Question 4

what are the drugs used in the treatment of angina

Answer 4

Aspirin - antiplatelet
Beta blocker - slows HR, reduce O2 demand
Statin - reduce cholesterol
ACE inhibitor - reduces BP

Question 5

what are the complications of CABG

Answer 5

Death
Stroke
MI
AF
Infection 
Renal failure

Question 6

what are the complications of PCI

Answer 6

Death
Stroke
MI
Renal failure 
Bleeding

Question 7

what is the PCI technique

Answer 7

• put patient on anti-platelet drugs, anticoagulation
• gain vascular access
• insert catheter to osmium of coronary
• guide wire down vessel
• balloons threaded over wire
• stent implanted
• balloon, catheter, wires removed

Question 8

what do we give for PCI

Answer 8

dual antiplatelet therapy

Question 9

what is a possible side effect of using radial artery access

Answer 9

Haematoma - localised collection of blood outside the blood vessel

Question 10

steps of CABG

Answer 10

Median sternotomy

Take saphenous vein + internal mammary artery and attach to aorta DISTAL to site of blockage

Question 11

which is better CABG or PCI

Answer 11

CABG