IHD Flashcards
1
Q
what happens in Angina
A
endothelial damage
leads to inflammation with plaque (cholesterol, fibrin)
2
Q
ischemic changes to the heart
A
enlarged heart, signs of heart failure, S3/S4
3
Q
investigations
A
cholesterol, glucose, renal function
ECG
4
Q
risk factors
A
lifestyle lifestyle disease family history age- greater than 40 gender- male, post menopausal female
5
Q
management
A
ABCDEF Aspirin and anti- anginal beta blockers and BP cholesterol and cigarettes diabetes and diet education and exercise follow up
6
Q
Aspirin
A
75-150 mg per day
COX inhibitor
prevents platelet thromboxane formation
inhibits platelet aggregation
7
Q
nitrates
A
for acute angina
vasodilators
less myocardial oxygen required
decrease preload
adverse effects- hypotension, headache, flushing
contraindications hypotension, previous Viagra use
8
Q
beta blockers
A
decrease heart rate and myocardial oxygen requirements
contraindications
asthma, COPD,CCF, heart block and bradycardia
adverse effects impotence bronchospasm lethargy bradycardia
