ISCHEMIC HEART DISEASE (ANGINA) Flashcards
WHAT AGENTS ARE USED FOR DRUG TREATMENT?
ANTIPLATELET
ANTIANGINAL
WHAT INTESNSITY OF STATIN SHOULD PTS WITH SIHD RECEIVE?
HIGH INTENSITY
SIHD IS CONSIDERED ASCVD
TREATMENT APPROACH OF ISCHEMIC HEART DISEASE
ABCDE
ANTIPLATELET, ANTIANGINAL
BP AND BETA BLOCKERS
CHOLESTEROL AND CIGARETTE
DIET AND DIABETES
EXERCISE AND EDUCATION
ASA USE DOSING AND DURATION
75-162 MG DAILY
INDEFINITELY UNTIL CONTRAINDICATED
CLOPIDOGREL DOSING
75 MG DAILY
WHICH GENOTYPE TO CHECK FOR CLOPIDOGREL USE
CYP2C19
WHEN IS DUAL ANTIPLATELET INDICATED
NOT NORMALLY IN SIHD
USUALLY RESERVED FOR THOSE WHO HAVE STENT OR CABG (POST MI)
WHAT IS THE FIRST LINE AGENT FOR ANTIANGINAL TREATMENT
BETA BLOCKERS
WHICH BETA BLOCKERS ARE USED AND HOW IS IT DOSED
BBs W/OUT ISA (METOPRO AND CARVDILOL
TITRATE TO RESTING HR 55-60 BPM
WHEN SHOULD BETA BLOCKERS BE AVOIDED AS ANTIANGINAL
PRINZMETAL’S ANGINA
WHICH AGENT IS PREFERRED IN PRINZMETAL’S ANGINA
CCBs
PREFERRABLE LONG ACTING
IF NEED BOTH BB AND CCB, WHICH CCB DO YOU USE
DHP TO AVOID EXCESSIVE BRADYCARDYIA
WHAT IS THE MOST COMMON DOSE FOR NITROGLYCERIN
0.4 MG
HOW ARE LONG ACTING NITRATES TAKEN?
DAILY BUT REQUIRE 10-12 HOUR NITRATE-FREE INTERVAL TO ↓ TOLERANCE
WHERE SHOULD NG PATCH BE PLACED?
CHEST
HOW IS THE NG PATCH USED
WEAR FOR 10 - 12 HOURS, OFF FOR 10 - 12 HOURS
HOW IS NITRO-BID USED
DOSED BID 6 HOURS APART WITH 10 - 12 HOUR NITRATE FREE INTERVAL
HOW IS ISOSORBIDE MONONITRATE IR DOSED
BID OR TID
TIME SO THAT THERE IS A 14 HOUR NITRATE FREE PERIOD
WHEN IS ISOSORBIDE DINITRATE USED IN COMBINATION WITH HYDRALAZINE
PREFERRED IN HFrEF
