Ischemic Heart Disease III Flashcards
Non platelet inhibitor anticoagulant therapy for ACS
Adjunct to ASA and Plavix
Unfractioned Heparin/Lovenox
Bivalirudin - in cath lab
Beta blockers used for ACS
Metoprolol or Carvedilol
CI - Heart block, CHF acute, Hypotension
Ranexa
Late sodium channel blocker for stable angina
Can be used with a PDE-5 inhibitor
No effect on HR or BP
QT prolongation
CCBs and ACS
3rd line therapy after nitrates and BB
Verapamil or Diltaezem
Warfarin for ACS
For select patients with thrombus or embolic events
Fibrinolytic therapy for ACS
ONLY if they are having a STEMI and you can’t get them to a PCI center
PPIs and ACS
Should be given to anyone who has received fibrinolytic therapy
Alt: H2 blocker
8 Absolute CIs to fibrinolytic therapy
Prior intercranial hemorrhage
Known structural vascular lesion
Known intercranial malignant neoplasm
Ischemic stroke w/in past 3 months (unless in last 3 hours)
Active internal bleeding (not menses)
Suspected aortic dissection
Active non- menstrual bleeding
Significant head or facial trauma within 3 months
PCI for Stable coronary artery disease
No really beneficial
Dual antiplatelet therapy duration for after PCI
Must have for 3-12 months depending on bleeding and ischemia risk
Two types of PCI
Balloon or Stent
Stent is usually preferred
Atherectomy
Roto-router of artery
6 CABG indications
Left main trunk artery stenosis
Poor LV function
Significant 3 vessel CAD or 2 vessel with LAD
DM and one stenosed vessel
Valvular disease that requires open heart surgery
Disease not amenable to PCI
Typical patient for prinzmetal angina
Female under 50 - cocaine or migraine med use
No risk factors
No precipitating factors
Associated with arrhythmia
Can still have a heart attack w/ no CAD on Cath
MC time of presentation of prinzmetal angina
Morning d/t cortisol
