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.
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
3
Q
Risk factors for IHD
A
HTN Cholesterol Smoking Alcohol Sedentary lifestyle Obesity Diabetes
4
Q
Presentation of IHD
A
SOB Pain Central crushing feeling Nausea vomiting Vagal response - urge to poo Lethargy Dizziness
5
Q
Pericarditis
12 lead presentation
A
Global ST elevation
Pericarditis is an obstructive shock state.