IHD Flashcards

1
Q

Stable angina

A
Exertional chest pain
Relieve by tng or rest
Secondry to artheriosclerosis 
No necrosis
ST depression
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2
Q

Prinzmetal (vasospastic) angina

A

Secondary to spasm coronary
Transient ST elevation
* HTN and HLP are not risk factors

Trigger: alcol o cocain
Tx: no smoking, CCB, nitrates

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3
Q

Unstable angina

A

Thrombosis > incomplete occlusion
Unlike NSTEMI no cardiac marker elevation
With or wothout st depression and/or t inversion
At rest chest pain

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4
Q

Sudden cardiac death

A

CAD
cardiomyopathy (dilated and hypertrophic)
Hereditary ion channelopathy (QT syndrome, Brugada)
Arrhythmia like VF
prevention : ICD

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5
Q

STEMI

A

Transmural

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6
Q

NSTEMI

A

Subendocardial

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7
Q

MI complications 0-24 hrs

A
Coagulative necrosis
Edema
Hemorrhage
Wavy fibers
Reperfusion injury
Free radical generation
Lead to :
- ventricular arrhythmia 
-HF
-cardiogenic shick
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8
Q

MI complications 1-3 days

A

Acute inflamation around necrosis
Extensive coagulative necrosis
Lead to :
-post infarction fibrinous pericarditis

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9
Q

MI complication 3-14 days

A
Macrophage
Granulation tissue at margins
Lead to 
-free wall rupture and tamponade
-papillary rupture and MR
-interventricular septal rupture 
-LV pseudo aneurysm
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10
Q

MI complication 2w to several months

A
Dressler syndrome
HF
Arhythmia
Ventricular aneurysm (risk of mural thrombus)
Contracted scar
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11
Q

STEMI Tx

A
Reperfusion therapy (percutaneous intervention prefered over fibrinolysis) 
\+ NSTEMI tx
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12
Q

NSTEMI

A
For pain (morphin tng) 
Statin
Betablocker 
Ace inhibitor
Anticoagulation (heparin) 
Anti platelets (aspirin
ADP receptor inhibitor (clopidogrel)
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