ischemic heart disease Flashcards by hilary Tipps

Q

Ischemic heart disease definition

A

How well did you know this?

1

Not at all

2

3

4

5

Perfectly

Q

Risk factors for developing CAD

A

How well did you know this?

1

Not at all

2

3

4

5

Perfectly

Q

Preoperative assessment

A

How well did you know this?

1

Not at all

2

3

4

5

Perfectly

Q

Preoperative orders

A

How well did you know this?

1

Not at all

2

3

4

5

Perfectly

Q

Angina pectoris

A

How well did you know this?

1

Not at all

2

3

4

5

Perfectly

Q

Diagnosis angina

A

How well did you know this?

1

Not at all

2

3

4

5

Perfectly

Q

Chest pain differential

A

How well did you know this?

1

Not at all

2

3

4

5

Perfectly

Q

Stable vs Unstable Angina

A

How well did you know this?

1

Not at all

2

3

4

5

Perfectly

Q

Acute coronary syndrome (MI)

A

How well did you know this?

1

Not at all

2

3

4

5

Perfectly

Q

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

A

How well did you know this?

1

Not at all

2

3

4

5

Perfectly

Q

•12 lead EKG

A

How well did you know this?

1

Not at all

2

3

4

5

Perfectly

Q

•Exercise angina

A

How well did you know this?

1

Not at all

2

3

4

5

Perfectly

Q

•Nuclear stress imaging

A

How well did you know this?

1

Not at all

2

3

4

5

Perfectly

Q

•Echocardiography

A

How well did you know this?

1

Not at all

2

3

4

5

Perfectly

Q

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

A

How well did you know this?

1

Not at all

2

3

4

5

Perfectly

Q

Vulnerable plaque

A

How well did you know this?

1

Not at all

2

3

4

5

Perfectly

Q

Treatment of CAD

A

Q

Treatment of CAD

A

Q

Lowering LDL: “Statins”

A

Q

Statin concerns…

A

Q

New way to lower LDL- injection

A

Q

Lowering Hypertension:

A

Q

Classes of Platelets

A

Q

Aspirin

A

Q

Thienopyridines

A

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

A

Q

ACEI/ARB

A

Q

ACE inhibitors

A

Q

Indications of PCI

A

Q

Mechanics of stent placement

A

Q

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

A

Q

BMS/DES algorithm

A

Q

Progress…..

A

Q

Anesthesia considerations

A

Q

When to stick, catheter/puncture???

A