IHD

Question 1

What is a prefered ACEi and dose for IHD?

Answer 1

Perindopril 2.5mg daily

Question 2

Which drugs should be started after an AMI?

Answer 2

Beta-blocker

ACEi

Aspirin

Statin

GTN

Question 3

What are the categories of complications in AMI’s?

Answer 3

Repeat ischaemia

Structural/Mechanical

Arrhythmic

Embolic

Inflammatory

Question 4

What are the common presenting symptoms of IHD?

Answer 4

Chest pain

SOB

Palpitations

Syncope

Nausea

Diaphoresis

Lethargy

Question 5

What is a prefered beta-blocker and dose for IHD?

Answer 5

Atenolol 25mg daily

Question 6

Before what time is reperfusion most effective?

Answer 6

<4hours

Question 7

How is a STEMI patient followed up?

Answer 7

1 month later in clinic

Echo after 6 months

Stress year at 1 year

Regular review of risk factors and lifestyle modifications

Question 8

What score can you used for assessing risk of AMI in a patient with a angina or NSTEMI? Outline it

Answer 8

TIMI (Thrombolysis in Myocardial infarction)

Age >65

CAD Risk factors

Hx CAD

Aspirin use in previous 7 days

Recent episode of angina

Elevated troponins

Other ST changes