ischemic heart disease

Question 1

IHD is also known as

Answer 1

CAD
CHD
atherosclerosis

Question 2

ISCHEMIA caused by

Answer 2

increased demand and decreased supply

Question 3

myocardial cell injury occurs when

Answer 3

the ischemic process becomes severe

Question 4

MI occurs when

Answer 4

the ischemia exceeds the hearts threshold for extended period of time

Question 5

when do most MI’s occur

Answer 5

early morning
during exercise

Question 6

EKG MI CLASSIFICATION ST SEGMENT ELEVATION or STEMI

Answer 6

70% of MIs
plaque rupture causes complete occlusion of a major coronary artery

Question 7

EKG MI CLASSIFICATION NON STEMI or NON ST elevation

Answer 7

30% of MI’s
partial occlusion of a major coronary artery
or
complete occlusion of a minor artery

Question 8

Transmural MI

Answer 8

extends the entire thickness of the heart wall (endo, myo, Epi cardium)

Question 9

non transmural MI

Answer 9

does not extends the entire thickness of the heart wall
LIMITED TO ENDO OR MYO Cardium

Question 10

TYPE 1 MI

Answer 10

spontaneous MI

Question 11

type 2 MI

Answer 11

MI due to supply and demand issue

Question 12

type 3 MI

Answer 12

associated w/ sudden death

Question 13

type 4a MI

Answer 13

assoc. w/ percutaneous coronary intervention

Question 14

type 4b MI

Answer 14

instent thrombosis

Question 15

type 5 MI

Answer 15

assoc. w/ coronary artery by pass graft

Question 16

6 key risk factors of ischemic heart disease

Answer 16

1. hyperlipidemia
2. diabetes mellitus
3. tabacco
4. male
5. family history

Question 17

IHD causes

Answer 17

1. atherosclerosis
2. coronary artery thrombosis
3. coronary artery spasm causes temporary obstruction
4. decreased blood flow
5. increased demand due to physical exertion

Question 18

angina pectoris symptoms

Answer 18

chest pain due to IHD
pressure that radiates to jaw should arm back

Question 19

stable angina

Answer 19

predictable and manageable
triggers are stress, temps, smoking
relieved by rest

Question 20

unstable angina symptoms

Answer 20

unexpected chest pain
usually at rest
last longer
occurs at rest

Question 21

variant angina symptoms

Answer 21

usually younger patients
S-T elevations
rare & occurs at rest or mornings
painful
can be due to coronary artery spasms

Question 22

NEW MURMUR post MI can be due to

Answer 22

ischemic MR
VSD post MI

Question 23

potential complications of MI

Answer 23

arrythmias
cardiogenic shock
dresslers syndrome
LV RV failure
MR
pap muscle dysfunction
pericardial effusion
percarditis
pseudo aneurysm
RV infarction
thrombus
true anuerysm
VSD

Question 24

what is dresslers syndrome

Answer 24

post MI illness that presents with
FEVER, Pericarditis, PERCARDIAL EFFUSION