ishemic heart disease

Question 1

what are the risk factors for SIHD

Answer 1

HPT
smoking
diabetes
dylipidemia
obesity
physical inactivity

Question 2

non drug treatments for SIHD

Answer 2

weight loss
BMI 18.5-24.9
waist circumference <35 inch <40 for male
30mins 5-7 days aerobic

Question 3

treatment goals for SIHD

Answer 3

ABCDE
antianginal and anti coag
BP
cholesterol- statin
Diet and diabetes
exercise

Question 4

what are antiplatelets recommended for SIHD

Answer 4

ASA- 81 in DAPT and then 75-162 indefenitly
Clopid
DAPT for 1 month after bare metal stent
DAPT for 6 months after drug eluting stent
DAPT for 12 months post CABG

Question 5

what are some BB used in SIHD

Answer 5

BB are 1st line
- reduces HR contractility and wall tension
metoprolol or carvedilol preferred

Question 6

what are some CCBs for SIHD

Answer 6

non DHP decrease HR
so DHP preffered when in combination with BBs

Question 7

what are some nitrates used in SIHD

Answer 7

long acting

Question 8

contradiction for using ranolazine in SIHD

Answer 8

QT prolongation
do not used with strong CYP 3a4 inhibitors or inducers

Question 9

nitroglycerin SL

Answer 9

nitro stat

Question 10

nitroglycerin TL

Answer 10

nitromist nitrolingual
spray
do not shake

Question 11

go nitro

Answer 11

nitroglycerin sl powder

Question 12

nitroglycerin ointment

Answer 12

nitrobid 2%

Question 13

nitro tablet ling acting

Answer 13

isosorbide mono and di

Question 14

nitro products in genereal

Answer 14

need nitro free days
not to be used with PDe5s