ischemic heart disease Flashcards by hilary Tipps | Brainscape

Q

Ischemic heart disease definition

A

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Q

Risk factors for developing CAD

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Q

Preoperative assessment

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Q

Preoperative orders

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Q

Angina pectoris

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Q

Diagnosis angina

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Q

Chest pain differential

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Q

Stable vs Unstable Angina

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Q

Acute coronary syndrome (MI)

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Q

Morbidity/Mortality Risks- longer wait after MI the better (for remodeling)

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Q

•12 lead EKG

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Q

•Exercise angina

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Q

•Nuclear stress imaging

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Q

•Echocardiography

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Q

•Coronary angiography- that we have and where plus distal targets

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Q

Vulnerable plaque

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Q

Treatment of CAD

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Q

Treatment of CAD

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Q

Lowering LDL: “Statins”

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Q

Statin concerns…

A

Q

New way to lower LDL- injection

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Q

Lowering Hypertension:

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Q

Classes of Platelets

A

Q

Aspirin

A

Q

Thienopyridines

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Q

Platelet glycoprotein receptor inhibitors

A

Q

Nitrates

A

Q

Do nitrates dilate atherosclerotic coronary arteries?

A

A little bit depending on level of atherosclerosis and size of coronary artery

Q

How do nitrates decrease left ventricular afterload?

A

Closed loop: decreased CO would decrease afterload

Q

Beta-blockers

A

Q

Beta blockers and mortality after MI-

A

older 30-50% reduction; younger is like 20%

Q

How do beta-blockers increase coronary artery perfusion?

A

Increases perfusion time because the ostea of the coronary arteries are occluded during systole and coronary vessels collapse during systole

Q

Calcium Channel Blockers

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ACEI/ARB

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ACE inhibitors

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Q

Indications of PCI

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Q

Mechanics of stent placement

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Q

DAPT: dual anti-platelet therapy (aspiring and something else)

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Q

BMS/DES algorithm

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Q

Progress…..

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Q

Anesthesia considerations

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Q

When to stick, catheter/puncture???

A