Chest Pain DSA Flashcards
At what age does your CV dz risk increase?
>55 male
>65 female
What are the serious seven?
potentially lethal causes of chest pain (MMAPPEP)
myocardial ischemia
MI
Aortic dissection
PE
Pneumothorax
Esophageal rupture
Pericarditis
When can you hear an S4 gallop?
during angina attack
When can you hear an S3 gallop?
in heart failure
What do you see on a CBC in setting of MI?
WBCs mildly elevated
What are the 3 types of pharmacologic stress testing?
vasodilator nuclear perfusion (adenosine, regadenoson)
dobutamine nuclear perfusion
dobutamine echo
What is the difference btw supply and demand angina?
supply angina - decr O2 delivery (from blocked As) to tissue causes ischemia
demand angina - incr myocardial O2 requirement and workload leads to ischemia
What does an ECG look like during stable angina?
50% of ppl have normal ECG
others can have ST elevation or depression
What neuro things can raise troponin?
stroke
intracranial hemorrhage
What renal things can raise troponin?
renal failure
shock
Who often has a painless STEMI?
elderly female w/ DM
