CVS

Question 1

Stable angina Rx

Answer 1

1. Aspirin
   2.Beta blocker
   3.lipid Lowering therapy HMg co A reductase + PCSK9 inhibiton.
2. Nitrates
   5 CBB if above not enough
   6: Surgery (GABG or PCI) if refractory

Question 2

Unstable angina Rx

Answer 2

unstabe angina / NSTEM
-)Aspirin
_2) P2Y12 inhibitor (ticagretol)
-3) L MWH
4) Glycoprotein 11B/ IIA inlibitors
5) beta blocker
6) nitrates
7) Morphin
8)02
9)High intensity statin
10) electrolytes correction (K* , Ma”), for arrhythmia
11)surgery if failue to improve
with 48 h

Question 3

Drugs that decrease mortality in MI

Answer 3

Aspirin
ACEI
Beta blocker ( carvidolol, metoprolol succinate, bisprolol)
P2Y12 ( ticagretol)

Question 4

MI Rx

Answer 4

1•Aspirin
2. B. Blocker
3. P2412 (Ticagretol)
4. ACEi
5. Statin and nitrate
6. morphin
7 LMWH
8.02
9. surgery( PCI< 90 min, thrombolytic 30min )
MONA TASS
Stool softeners
Sedative

Question 5

HfrEF( systolic HF)

Answer 5

1. BB
2. ACEi
3. Ivabradin
4. Neprilysin inhibiton
5. aldasterone antagonist (spirinalactone)
   6: nitrate/ Hydralazine
   7• diuretics (loop)

Question 6

Drugs that prevent cardiac remodeling

Answer 6

ACEI
BB
Spirinolactone

Question 7

HFpEF( diastolic HF)

Answer 7

Diuretics
Salt and fluid restriction

Question 8

Acute decompensated HF Rx

Answer 8

O2
Loop diuretic
IV nitrates or nitroglycerin
Positive inotrope drug ( dobutamine)
Fluid and salt restriction
Never give nitrates and RV dysfunction because it decreases preLoad
No Ccb if patient with degrees, ejection fraction, because it decreases afterLoad

Question 9

contraindicated drugs in HF

Answer 9

Metformin
CCB
Thiazide
NSAIDs