Coronary Artery Disease Flashcards

1
Q

Signs and Symptoms

A

SOB
FATIGUE
HIGH BLOOD PRESSURE
INCREASED IN HEART RATE
COLD SWEAT
Chest pain radiating
at the back

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2
Q

DIAGNOSTIC TESTS

A

Blood tests
Electrocardiogram (ECG)
Exercise stress test
Echocardiogram (ultrasound)
Nuclear cardiac stress test
Coronary angiogram
Magnetic resonance imaging
(MRI)

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3
Q

LABORATORY TESTS

A

BLOOD CHOLESTEROL TEST
C-REACTIVE PROTEIN TEST
Plasma Ceramides
Apolipoproteins
Trimethylamine N-oxide (TMAO)

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4
Q

____- can measure the
substances and show if, and how
much of, your heart muscle has been
damaged.
-also done to measure the level of
other substances in your blood, such
as blood fats (e.g. cholesterol and
triglycerides), vitamins and minerals.

A

Blood tests

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5
Q

______- reads the
heart’s electrical impulses. It shows
how well your heart is beating.

A

Electrocardiogram (ECG)

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6
Q

________- sometimes
called a ‘treadmill’ or ‘exercise’
test, is a type of ECG that is done
while you are exercising

A

Exercise stress test-

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7
Q

_______
-It gives a picture of your heart
using ultrasound, a type of X-ray.
It uses a probe either on your
chest or down your oesophagus
(throat).

A

Echocardiogram (ultrasound)

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8
Q

_____
- sometimes called an ‘exercise thallium scan’
, a ‘dual
isotope treadmill’ or an ‘exercise nuclear scan’.
A radioactive substance called a ‘tracer’ is injected into
your bloodstream. It goes to your heart and releases
energy. Special cameras take a picture of this energy
from outside your body.

A

Nuclear cardiac stress test

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9
Q

_____ - sometimes called ‘cardiac
catheterisation’
, may be done after a heart attack or
angina.
A catheter (a small tube) is put into an artery in your
groin, arm or wrist. The catheter is moved up inside the
artery until it reaches your heart.
A special dye is injected into your coronary arteries
and an X-ray is taken.

A

Coronary angiogram

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10
Q

________
- uses very strong magnets and
radio waves to create detailed
images of your heart on a
computer. It can take still or
moving pictures of your heart.
Sometimes a special dye is used
to make parts of the heart and
coronary arteries easier to see.

A

Magnetic resonance imaging
(MRI)

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11
Q

also called alipid panel or lipid profile, measures
the fats in the blood. The results can show the
risk of having acoronary artery disease.

A

BLOOD CHOLESTEROL TEST

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12
Q

is
produced by the liver, and
its level rises when there’s
inflammation of the
arteries. The test can tell
possibility of an infection,
certain diseases, or are at
risk of heart disease

A

C-REACTIVE
PROTEIN TEST

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13
Q

This test measures the levels of
ceramides in the blood. All
cells make ceramides. They
play a big role in the way many
types of tissue grow, work and
die. Ceramides are linked to
atherosclerosis

A

Plasma Ceramides

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14
Q

a blood test that can tell
the risk for
cardiovascular (heart
and blood vessel)
disease

A

Apolipoproteins

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15
Q

High levels in the blood
increases the risk of
heart disease, heart
attack, stroke and
clogged arteries
(atherosclerosis).

A

Trimethylamine N-oxide
(TMAO)

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16
Q

NURSING DIAGNOSIS

A

Decreased cardiac output related to impaired myocardial contractility as evidenced by
fatigue.

Ineffective tissue perfusion related to reduced
coronary artery blood flow as evidenced by
chest pain.

Acute pain related to decreased myocardial
blood flow as evidenced by reports of pain.

Imbalanced nutrition less than body
requirements related to less intake of food as
evidenced by weight loss.

17
Q

Decreased cardiac output MEDS

A

a. Inotropes
b. Diuretics
c. ACE inhibitors/ ARBS

18
Q

Ineffective tissue perfusion MEDS

A

a. Anti-anginal
b. Antiplatelet
c. Beta-blockers

19
Q

E.g. Enalapril, Lisinopril

Action:
Helps to relax blood vessels and reduce blood
pressure, which can help to protect heart

A

ACE INHIBITORS

20
Q

E.g. Losartan and Valsartan

Action:
Similar to ACE inhibitors but used when patients are intolerant to ACE inhibitors

A

ANGIOTENSIN II RECEPTOR BLOCKERS

21
Q

E.g. Atorvastatin and Simvastatin

Action:
These lower cholesterol levels and help stabilize
plaques in the arteries

A

STATINS

22
Q

E.g. Metoprolol and Carvedilol

Action:
Reduce the heart’s workload and lower blood
pressure

A

BETA-BLOCKERS

23
Q

E.g. Amlodipine and Diltiazem

Action:
Help to relax the blood vessels and reduce the
heart’s workload

A

CALCIUM CHANNEL BLOCKERS

24
Q

E.g. Nitroglycerin

Action:
Used to relieve angina by dilating blood vessels

A

NITRATES

25
Q

E.g. Warfarin, Rivaroxaban,
Apixaban, Dabigatran

Action:
Prevents and reduces blood clot formation

A

ANTICOAGULANT

26
Q

Surgical Management

A
  1. Coronary Angioplasty and
    Stent Placement
  2. Coronary Artery Bypass
    Graft (CABG) Surgery