Coronary Artery Disease Flashcards

0
Q

“pain in the anterior chest”

A

angina

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1
Q

what are s/s of CAD

A

angina
dyspnea
nausea
weakness

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2
Q

what are causes of angina

A

⬇️ blood flow = ⬇️ O2 supply at times of high demand

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3
Q

type of angina:

predictable & consistent pain that occurs on exertion

A

stable

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4
Q

type of angina:

is relieved by rest or nitroglycerin

A

stable

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5
Q

type of angina:

symptoms ⬆️ in frequency in severity; may not be relieved by rest or nitro

A

unstable

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6
Q

type of angina:

severe incapacitating chest pain

A

intractable/refractory

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7
Q

type of angina:

pain at rest w/ reversible ST segment elevation

A

variant

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8
Q

type of angina:

caused by coronary artery vasospasm

A

variant

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9
Q

type of angina:

pt has no pain but there is evidence of ischemia via stress test

A

silent ischemia

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10
Q

an area of myocardium is permanantly destroyed

A

MI

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11
Q

what are causes of an MI

A

vasospasm of coronary artery
imbalance in O2 supply & demand
artery occlusion

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12
Q

EKG:

s/s of coronary ischemia but ekg & biomarkers show no evidence of MI

A

unstable angina

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13
Q

EKG:

evidence of acute MI w/ characteristic changes in 2 ekg leads; significant myocardial damage

A

STEMI

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14
Q

EKG:

⬆️ biomarkers but no ekg evidence of acute MI

A

NSTEMI

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15
Q

lab test:

⬆️ only when there has been damage to cardiac cells

A

creatine kinase (CK enzymes)

16
Q

lab test:

normal value < 5%

A

CK enzyme

17
Q

lab test:

increases within a few hours, peaks at 24 hours post MI

A

CK enzyme

18
Q

lab test:

protein that helps transport O2

A

myoglobin

19
Q

lab test:

⬆️ within 1-3 hours, peaks within 12 hours of symptoms

A

myoglobin

20
Q

lab test:

not very specific in indicating an MI, used to r/o

A

myoglobin

21
Q

lab test:

regulates myocardial contractile process

A

troponin

22
Q

lab test:

⬆️ detected within a few hours but can remain ⬆️ x 3 weeks

A

troponin

23
Q

lab test:

indicates the breakdown of ❤️ cells

A

troponin