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
What is the first line treatment for an NSTEMI
Bedrest with continuous ECG telemetry
When do most deaths occur with a STEMI
1 hour of onset
How fast should an EKG be done when someone comes into the ER with chest pain
within 10 minutes
How fast does a patient have to get to the cathlab after entering the ER with STEMI
30min
When is thrombolysis useful in STEMI patients
Far from PCI center
PCI contraindicated
Delayed presentation
within 6hours of pain onset
**Generally w/in 30min of ED arrival
