CVS

Question 1

Kilip

Answer 1

Quantifies severity of HF in the setting of ACS and predicts 30-day mortality

Class I no signs of HF
Class II mild-mod HF (ie S3, rales <1/2 way up posterior lung fields, JVD)
Class III pulmonary edema
Class IV cardiogenic shock

Question 2

TIMI

Answer 2

Thrombolysis in MI: used to determine the likelihood of ischemic event or mortality in pt with UA or NSTEMI

Low risk <2, mod 3-4, high 5-7

1 point each:
- Age >65
- >3 CAD risk factors (Framingham)
- Known CAD with >50% stenosis
- ASA use in past 7days
- severe angina in past 24hrs
- elevated cardiac markers
- ST deviation >0.5mm

Question 3

NYHA

Answer 3

New York heart association (NYHA) functional classification in the setting of HF

Class I no limitation of physical activity
Class II Slight limitation (fatigue, palpitation, SOB, CP), relieved at rest
Class III marked limitation with less than ordinary activity, relieved at rest
Class IV symptoms at rest

Question 4

Debakey and Stanford

Answer 4

Debakey= BAD
1- both
2- ascending
3- descending

Stanford
type A involves Ascending (type 1 or 2 debakey)
Type B involves descending (type 3)