Chest Pain DSA Flashcards

1
Q

At what age does your CV dz risk increase?

A

>55 male

>65 female

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2
Q

What are the serious seven?

A

potentially lethal causes of chest pain (MMAPPEP)

myocardial ischemia

MI

Aortic dissection

PE

Pneumothorax

Esophageal rupture

Pericarditis

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3
Q

When can you hear an S4 gallop?

A

during angina attack

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4
Q

When can you hear an S3 gallop?

A

in heart failure

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5
Q

What do you see on a CBC in setting of MI?

A

WBCs mildly elevated

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6
Q

What are the 3 types of pharmacologic stress testing?

A

vasodilator nuclear perfusion (adenosine, regadenoson)

dobutamine nuclear perfusion

dobutamine echo

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7
Q

What is the difference btw supply and demand angina?

A

supply angina - decr O2 delivery (from blocked As) to tissue causes ischemia

demand angina - incr myocardial O2 requirement and workload leads to ischemia

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8
Q

What does an ECG look like during stable angina?

A

50% of ppl have normal ECG

others can have ST elevation or depression

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9
Q

What neuro things can raise troponin?

A

stroke

intracranial hemorrhage

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10
Q

What renal things can raise troponin?

A

renal failure

shock

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11
Q

Who often has a painless STEMI?

A

elderly female w/ DM

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12
Q

What type of MI often presents w/ nausea, vomiting, and indigestion?

A

inferior wall MI

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13
Q

MI of what artery causes papillary muscle damage?

A

RCA

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