Coronary Artery Disease - overview

Question 1

What is the most common cause of coronary artery disease (CAD)

Answer 1

atherosclerosis of the coronary arteries

Question 2

What is the primary manifestation of CAD

Answer 2

angina

Question 3

What is stable vs unstable angina

Answer 3

Stable- caused by exertion, relieved by rest
Unstable- can occur at rest, increase in severity of s/s from stable/chronic angina

Question 4

What is a carotid bruit indicative of?

TQ*

Answer 4

ominous for stroke

Question 5

What role do beta blockers have after an MI

2

Answer 5

• improve blood flow to myocardium
• remodel/restrengthen heart after MI

Question 6

What is the best glucose lowering med for diabetes + cardiac disease?

TQ*

Answer 6

metformin- added benefit of reducing CV risk

Question 7

How does ASA impact CAD

Answer 7

Irreversibly inhibits platelets from forming clots

Question 8

How to nitrates help CAD

Answer 8

smooth muscle relaxation = dilation = reduced load on heart

Question 9

How does nitrate tolerance occur- what to do to avoid

Answer 9

can develop tolerance- need nitrate free intervals of 8-12 hours to prevent

use patch free day to prevent tolerance

Question 10

What is the goal of CAD management

Answer 10

HTN control