Ischemic Heart Disease - INDY ppt

Question 1

Coronary artery disease definition

Answer 1

abnormal narrowing, ectasia, or occlusion or coronary vessels

Question 2

Coronary heart disease definition

Answer 2

coronary artery disease that has become manifest as chronic stable angina, unstable angina, myocardial infarction, or heart failure

Question 3

Ischemia definition

Answer 3

sub-normal myocardial blood flow

Question 4

Metabolic syndrome

Answer 4

Any 3 of the following:

Hypertension (>130/85)
Abdominal obesity
-Waist circumference >40cm in men (>35cm in women)
HDL 150
Fasting plasma glucose >100
Associated with inflammation, coagulation abnormalities, progression to type 2 DM

Question 5

What are some manifestations of coronary artery disease?

Answer 5

Chronic stable angina
Unstable angina
MI
Ischemia cardiomyopathy (CHF)
Sudden cardiac death
Silent ischemia

Question 6

What is angina pectoris?

Answer 6

• Visceral discomfort
• Diffuse & sub-sternal
• Accompanied by dyspnea, diaphoresis, nausea, light-headedness
• Provoked by physical exertion, emotional upset, heavy meal, working in cold temp
• Onset usually over several minutes
• Relieved by rest, NTG

Question 7

Typical angina pectors?

Atypical?

Answer 7

Typical

• sub-sternal
• brought on by exertion
• relieved by rest of NTG

Atypical
-missing one or more of above

Question 8

Atypical symtpoms - considered angina ‘equivalents’

Answer 8

Dyspnea
Arm, jaw, or back pain
Nausea
Diaphoresis
Fatigue
Silent ischemia

Question 9

Who typically experiences atypical symptoms?

Answer 9

Women
Elderly
Diabetics

Question 10

High Risk Groups for Ischemic Heart Disease

What helps these groups?

Answer 10

Left main stenosis > 50%
3 vessel disease with reduced LV function
2 vessel disease involving proximal LAD
Multi-vessel disease in diabetics

Revascularization via CABG shown to improve survival