Ischemic Heart Disease

Question 1

What substances are derived within the endothelium to help with vascular tone and bleeding and clotting?

Answer 1

Prostocyclin
Nitric Oxide
Hydrogen Peroxide
Endothelium
Reactive Oxygen

Question 2

What are some chest pain differential diagnoses?

Answer 2

ACS
SIDH
Aortic Dissection
Pneumothorax
Anxiety
GERD
Pericarditis
Pancreatitis

Question 3

In interpreting EKG, pathologic Q waves are associated with what clinical finding?

Answer 3

Necrosis

Question 4

In interpreting EKG, ischemia can be indicated by what finding on EKG?

Answer 4

Inverted T waves

Question 5

Common cause of death post MI?

Answer 5

Most commonly aFib and arrhythmia

Question 6

What is the diagnosis criteria for typical angina?

Answer 6

Substernal chest discomfort with a characteristic quality and duration that is either

Provoked by exertion or emotional stress and
Relieved by rest or nitroglycerin

Question 7

In a patient with an NSTEMI, what is the target systolic BP when treating with Nitrates?

Answer 7

< 100mmHg

Question 8

When a patient presents to the ED an EKG should be done within ____ minutes of arrival

Answer 8

10 minutes

Question 9

When a patient presents to the ED and having a STEMI they should be sent to the cath lab within how much time of arrival?

Answer 9

30 minutes

Question 10

When are thrombolytics indicated in STEMI?

Answer 10

Far from a PCI center
PCI contraindicated
Delayed presentation (after 6 hours of onset)

Question 11

After an MI what medications are patients on lifelong?

Answer 11

Aspirin
Oral Anticoagulants (VKA’s or NOACs)