Ischemic Heart Disease

Question 1

WHAT TYPE OF ANGINA PECTORIS

Occurs due to EXERTION (DEMAND problem)

Answer 1

STABLE or TYPICAL angina (most common)

Question 2

WHAT TYPE OF ANGINA PECTORIS

Secondary to coronary artery SPASM

Answer 2

PRINZMETAL

Question 3

WHAT TYPE OF ANGINA PECTORIS

May happen even at REST
SUPPLY problem

Answer 3

UNSTABLE (crescendo)

Question 4

**PATTERNS OF MI: Transmural, Subendocardial or Multifocal microinfarction

REGIONAL: acute plaque change —> blood flow restored

CIRCUMFERENTIAL pattern: (+) SHOCK

Answer 4

SUBENDOCARDIAL

Question 5

**PATTERNS OF MI: Transmural, Subendocardial or Multifocal microinfarction

Microembolization, vasculitis, vascular spasm

Answer 5

MULTIFOCAL MICROINFARCTION

Question 6

**PATTERNS OF MI: Transmural, Subendocardial or Multifocal microinfarction

Epicardial vessel occlusion (NO intervention)

Answer 6

TRANSMURAL

Question 7

Most common vessel involved in MI

Answer 7

LEFT ANTERIOR DESCENDING ARTERY (LAD)

Question 8

When triphenyltetrazolium chloride is applied on fresh cardiac tissue, if the myocardium is VIABLE, what is the color?

Answer 8

BRICK-RED (indicating LDH activity)

Question 9

When triphenyltetrazolium chloride is applied on fresh cardiac tissue, if the myocardium is NECTROTIC, what is the color?

Answer 9

PALE

Question 10

MICROSCOPIC MORPHOLOGY of MI

6-12 HRS

Answer 10

COAGULATIVE NECROSIS

Question 11

MICROSCOPIC MORPHOLOGY of MI

1-3 DAYS

Answer 11

ACUTE INFLAMMATION

Question 12

MICROSCOPIC MORPHOLOGY of MI

3-7 DAYS

Answer 12

MACROPHAGES

Question 13

MICROSCOPIC MORPHOLOGY of MI

7-10 DAYS

Answer 13

GRANULATION TISSUE

Question 14

Cardiac marker that is used to assess REINFARCTION

Answer 14

CK-MB

~~ Because its level persist at a SHORTER duration (return to normal at 2-3 days)