ischemic heart disease Flashcards
What groups of meds can be used for stable angina
beta blockers
calcium channel blockers
nitrates
what group of meds have been shown to help survival post MI
Statins
(high potency)
What’s help treat ACS
Morphine
Oxygen
Nitrate
Aspirin
If a patient has diabetes, what type of revascularization procedure do they do better with
CABG
What are most cases of ischemic heart disease caused by
Reduced coronary BF
What is angina pectoris
Ischemia caused by pain but insufficient to cause myocyte death
when does sudden cardiac death occur
can be as a consequence of tissue damage from MI
*most commonly results from a lethal arrhythmia without myocyte necrosis
What are 3 manifestations of IHD that lead to ACS
Unstable angina
MI
SCD
If there is ischemia, what changes will be seen on an EKG
T wave inversion
If there is injury in the heart, what EKG changes will occur
ST elevation
If there is tissue necrosis, what EKG changes will occur
pathologic Q waves
What presentations will a patient have who has ischemic heart issues
Chest pain / pressure /discomfort
Dyspnea / diaphoresis
N/V
Radiation of pain down jaw/neck / arm / shoulder /back
What is CP with exertion
angina
what are scute treatments to reduce ischemia
anticoagulation
antiplatelet
beta blockade
nitrates
repercussion
What are long term treatments for ACS
ACEi
Statins
Nitrates
Antiplatelets
Rehab
