different tpes of angina Flashcards
1
Q
silent angina
- no symptoms
- who it affects
- how to diagnose
- symptoms
A
occurs in the absence of discomfort or pain
may have a heart attack with no prior warning
occurs in older adults, post operative, heavily medicated id diabetic neuropsthy
how to diagnose = electro cardiographs, exercise stress test, jolt or monitor
symphony o,s = heartburn, nausea, pain in hear or jaw
2
Q
stable angina
A
- this is a oattetem of chronic predictable transient angina with symptoms of re occurring under solar circumstances with similar frequency over time
3
Q
unstable angina
A
angina increasing in severity, duration aor frequency at rests with a lesser degree of exertion
4
Q
variant angina
A
- prinzmetal;s angina
tidal coronary artery spasm in the absence of overt atherosclerosis lesion
5
Q
how to diagnose angina
A
- electrocardiography gram
- exercise stress test / ecg
- cardiac
- coronary angiography
6
Q
how do you manage angina
A
- stop smoking
- increased aerobic exercise
- limit alcohol intake
7
Q
what are the risk factors of angina
A
- atherosclerosis and plaque formation
- old
- smoking
- obesity
- hypertension
- diabetes
8
Q
list the treatments of angina
A
- organic nitrates
- beta blockers
- calcium antagonist
- anti platelets
- anticoagulants
9
Q
what is the mechanism of action of organic nitrates
- dilation
- vrtrickes wirk less
- less stress on the heart
A
- causes dialation in the veins which decreases the tension in the myocardial wall
- decreases the work of the ventricles
- reduces heart beat
- all these effects will results in a reduction in the heart work load and this oxygen consumption
10
Q
what is the mechanism of action of calcium channel blockers
- oxygen demand less
- coronary dilation
A
- blocks calcium influx into the cells
- decreases myocardial oxygen demand
- increase the heart oxygen supply through coronary dialation
