CHD stuff i have left over

Question 1

Name the substances tested for

Answer 1

creatine kinase MB, Myoglobin, BNP, troponins I and T, c reactive protein

Question 2

What is BNP?

Answer 2

B natriuretic peptide, released from ventricular myocardium, marker for heart failure

Question 3

what is myoglobin?

Answer 3

highly sensitive but unspecific. urine levels increased 1-4hrs post onset of pain

Question 4

what is c reactive protein?

Answer 4

acute phase protein elevated in inflammation

Question 5

give some of the drugs given

Answer 5

thrombolytic treatment, streptokinase, heparin, warfarin, aspirin, statins, beta blockers

Question 6

how much does streptokinase cose?

Answer 6

80-90 quid per patient

Question 7

whats the issues with warfarin?

Answer 7

an anticoagulant thats the most widely prescribed but interacts with medicines and foods so INR has to be monitored

Question 8

INR?

Answer 8

International normalised ratio

Question 9

whats an ace inhibitor?

Answer 9

lowers bp by blocking angiotensin

Question 10

whats a statin?

Answer 10

lowers cholesterol by blocking HMG-CoA reductase that makes cholesterol