Ischemic Heart Disease Flashcards

1
Q

How does IHD cause pain

A

Decreased o2 supply - anaerobic metabolism - lactic acid production and mediator release aggregates nerves and causes pain.

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2
Q

Regions of heart from 12 lead

Include V4r, V789

A

AvL looks central from left arm
AvR looks central from right arm
AvF looks up centrally from feet

1 looks left to right across heart
2 looks at right shoulder from left hip
3 looks at left shoulder from right hip

V1 V2 Looks at septum

V3 V4 Anterior aspect (front)

V5 V6 lateral aspect

2,3,AvF inferior aspect
V4R

V7 V8 V9 Posterior

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3
Q

Risk factors for IHD

A
HTN
Cholesterol
Smoking
Alcohol
Sedentary lifestyle
Obesity
Diabetes
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4
Q

Presentation of IHD

A
SOB
Pain
Central crushing feeling
Nausea vomiting
Vagal response - urge to poo
Lethargy
Dizziness
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5
Q

Pericarditis

12 lead presentation

A

Global ST elevation

Pericarditis is an obstructive shock state.

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