Coronary Heart Disease

Question 1

What is cardiogenic shock?

Answer 1

Inadequate perfusion as a result of cardiac dysfunction

Question 2

What does chest pain usually lead to the diagnosis of?

Answer 2

Angina

Question 3

Can people have CHD without angina?

Answer 3

Yes

Question 4

What is the gold standard test for CHD?

Answer 4

Angiography

Question 5

What tests besides angiography can be done for CHD?

Answer 5

CTPA, exercise testing and perfusion scanning

Question 6

What can decrease risk in CHD?

Answer 6

Drugs, lifestyle changes and revascularisation

Question 7

How can revascularisation be achieved in CHD?

Answer 7

PCI or CABG

Question 8

What drugs are given to patients with CHD?

Answer 8

Aspirin, statins, ACE inhibitor and beta blocker

Question 9

What should you always try and get patients with CHD to do?

Answer 9

Stop smoking

Question 10

What veins are commonly used for CABG?

Answer 10

Great saphenous vein and internal mammary artery

Question 11

What revascularisation technique is used in a STEMI (normally)?

Answer 11

PCI

Question 12

What is done in acute coronary events with regards to revascularisation?

Answer 12

Perform angiography with a view to revascularisation

Question 13

What patients with angina receive revascularisation?

Answer 13

Only those with severe symptoms or at high risk

Question 14

Sudden death associated with ischaemic heart disease is associated with what ECG abnormality?

Answer 14

Long QT syndrome

Question 15

What can bring on pain of angina?

Answer 15

Exertion, stress, cold wind and after meals

Question 16

What type of scar will a CABG show?

Answer 16

Medial sternotomy

Question 17

Describe the technique of PCI?

Answer 17

Vascular access, anti-platelets and anti-coagulation, catheter to ostium, stent inserted