IHD Flashcards
Overlapping ischemic syndromes
MI
AP
CHID
Sudden cardiac death
Imbalance btwn cardiac demand and vascular supply
Ischemia
Most common cause of IHD
Reduced coronary blood flow
Occurs when one of the arteries becomes blocked and causes spasm or by atherosclerosis
MI
Paroxysmal or episodic substernal or chest pain
AP
Pain occur with exertion
Disappear w rest
Stable angina
Vasopasm
Significant narrowing of arteries
Prinzmetal angina
Pain even at rest
Atherosclerosis or mural thrombosis
Unstable angina
Harbinger of MI
Unstable angina
Elderly pxs
Multivessel coronary atherosclerosis
Chronic IHD
Microscopic features of CIHD
Wear and tear pigment
Myocytolysis
Patchy to confluent replacement fibrosis
Most impt feature of CIHD
Fibrosis
Unexpected cardiac death within one hr of symptom onset
Sudden cardiac death
MC causes of SCD
Atherosclerosis
Unstable angina
Most common etiology of SCD
Fatal arrythmia