Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

CV II Exam 3 > Ischemic Heart Disease, Angina, and MI I > Flashcards

Ischemic Heart Disease, Angina, and MI I Flashcards

1
Q

coronary blood demand exceeds coronary blood flow

A

ischemic heart disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

etiology of IHD

A 
atherosclerosis
hyperthyroid
anemia
stress
variant angina
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

prinzmetal

A

vasospasm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

retrosternal, aching or squeezing, radiates to neck, shoulder, back, teeth, and epigastrium

A

IHD

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

framingham

A

multigenerational study for risk factors of heart disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

risk fx for IHD

A 
age
male
smoker (rapid reduction 2 yrs after quitting)
HTN
DM
hypercholesterol
fam Hx
cocaine
methamphetamine
physical inactivity
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

levels of framingham risk

A

10 year risk**

low risk 20%
-aggressive risk modification

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

metabolic syndrome

A

risk fx with 2x increased CAD risk

insulin resistance
hyperglycemia
HTN
elevated trigyceride
low HDL
obesity
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

conditional risk fx

A 
homocysteine
lipoprotein a
hsCRP
LDL particle size
antioxidant size
omega 3 FAs
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

MI risk fx

A 
cholesterol
smoking
stress
DM
HTN
obesity
alcohol
exercise
veggies and fruit daily
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

diagnostic testing for IHD

A

CPK
troponin
LDH

exercise stress test

pharm stress test

imaging augmentation

angiography

CT - coronary artery calcium score

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

HR max

A

220 - age

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

dobutamine

A

increases cardiac stress and oxygen demand

-in stress test

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

used to cause vasodilation coronary steal during stress test

A

adenosine

dipyridamole

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

gold standard for defining coronary occlusion

A

angiography

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

need to do other exam for CAD

A

if LBBB on EKG

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

male typical chest pain >40yo

A

high risk for CAD

18
Q

female typical chest pain > 60yo

A

high risk for CAD

19
Q

low probability chest pain eval

A

no further workup

20
Q

intermediate probability EKG normal chest pain eval

A

stress test

21
Q

intermediate probability and EKG abnormal chest pain eval

A

stress test

possible imaging

22
Q

high probability chest pain eval

A

medical therapy followed by stress test and/or coronary angiography

23
Q

type A dissection extends to right coronary artery

A

inferior wall MI

widened mediastinum on chest X-ray

24
Q

new onset atrial fib

A

pulmonary embolism

25
Q

ST elevation MI

A

cath lab by 90 minutes**

26
Q

absolute contraindications to thrombolysis

A

intracranial hemorrhage
ischemic CVA last 3 months
facial trauma last 3 months
bleeding diathesis

27
Q

inferior wall MI

A

bradycardia and AV block

AV node - right coronary a

hypotension for volume depletion

28
Q

anterior wall MI

A

pump failure and CHF - large area infarcts

cardiogenic shock

intra-aortic

29
Q

Intra-aortic balloon pump synchronous counterpulsation

A

to decrease afterload and increase coronary a flow

30
Q

new systolic murmur and thrill on left sternal border after MI

A

VSD

31
Q

new systolic murmur, PE, thrill, and cardiogenic shock after MI

A

papillary musclerupture and MR

32
Q

require revascularization

A

three vessel disease and left main disease

in high risk patients

33
Q

patient treated medically

A

should have eval for EF and provocative ischemic test

34
Q

EF < 40%, significant ischemia on non-invasive testing, arrhythmia, recurrent chest pain, significant heart failure during stay

A

angiography indications

35
Q

post acute coronary syndrome mortality reducers

A

beta blockers
aspirin
ACE
statins - LDL < 100 goal

**important to manage hyperglycemia

36
Q

CABG

A

in stable CAD
-only if left main disease, left main equivalent, three vessel disease, or two vessels involving proximal LAD and EF <50%

37
Q

coronary angiography

A

gold standard
-if positive stress test

or STEMI, unclear diagnostic eval, left limiting angina after medical therapy

38
Q

females

A

10 year later diagnosis

more vasospastic presentation

more atypical presentations

hormone replacement - not shown to reduce CAD risk

39
Q

diabetics

A

2-8x more likely to suffer and die from cardiovascular diseases

more advanced and higher grade disease

blood glucose control very important

40
Q

elderly

A

without chest pain

CV II Exam 3 (21 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions