Ischemic Heart Disease Flashcards
1
Q
Angina occurs when…
A
O2 demand exceeds supply.
2
Q
Classic definition of typical angina
A
Substernal in location with cardiac characteristics to the pain Provoked by stress or exertion Relieved by rest or nitro **Atypical angina or CP CP that meets 2 or less criteria above
3
Q
Ranolazine (Ranexa) MOA
A
Blocks sodium channel into the myocyte during depolarization
**Can cause QT prolongation
4
Q
Vasospastic angina
A
CP without usual precipitating factors
Associated with ST elevation during episodes
Normal exercise tolerance
5
Q
Medical therapy for unstable angina and NSTEMI
A
Oxygen Nitroglycerin Morphine Beta blockers Antiplatelet therapy Anticoagulation
6
Q
TIMI Score
A
% of risk at 14 days of all cause mortality, new or recurrent MI or severe recurrent ischemia requiring urgent revascularization
7
Q
Cocaine-associated MI
A
Give benzodiazepines early
Do not use beta blockers due to possibility of inducing further coronary vasospasm
8
Q
Medical therapy for STEMI
A
Oxygen Nitroglycerin Morphine Beta blockers Antiplatelet therapy Anticoagulation PLUS fibrinolytic therapy or PCI
