Ischemic Heart Disease Flashcards
Complete the following sentence.
Stable IHD has a plaque that covers______of the lumen and the cap is known to be _____ and _____>.>
a. 88-90%; thin; fibrous
b. 70-80%; thick; fibrous
c. 50-60%; thin; unstable
d. 70-80%; thick; unstable
B. 70-80%; thick; fibrous
Complete the sentence
Acute Coronary Syndrome has a plaque that covers____ of the lumen and the cap is known to be _____and____.
a. 70-80%; thick; fibrous
b. 70-80% thin; fibrous
c. 50-60%; thin; unstable
d. 50-60%; thick; fibrous
c. 50-60%; thin; unstable
True or False
Activity resulting in the myocardium requiring more oxygen is describing Acute Coronary Syndrome
False
Activity resuling in myocardium requiring more oxygen is describing ischemic heart disease.
Acute Coronary Syndrome is described by a decrease in oxygen supply due to thrombus formation within the coronary arteries
Don Vicente is a 55 yo Hispanic presenting to the ER complaining of chest pain. The chest pain started as he was arguing with his grandson Diego for loving a poor girl and divorcing his wife now. According to Diego the pain lasted for 30 minutes. Don Vicente describes his chest pain as a crushing feeliing in the center that radiates to his left arm and jaw. He rates his pain as 8/10. In the abulance he received NTG 0.4mg SL q5min x3 but experienced no relief.
Labs:
- Trop: 8.4ng/mL
- CK: 596ng/mL
- CK-MB: 60ng/mL
EKG: sinus tachycardia, T wave inversion
What kind of Ischemia is Don Vicente having?
a. He is faking it to avoid the conversation
b. Unstable Angina
c. NSTEMI
d. STEMI
C. NSTEMI
According to the PPQRST Story
Precipitating Factors: Rest with no exertional component
Palliative Measures: NTG x3 w/ no relief
Quality: Crushing tightness
Radiation: Left arm, jaw
Severity: 8 out of 10
Temporal: >20 minutes
Cardiac Markers: positive
EKG: T-Wave Inversion
