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Y4R7 - Medicine III 🩺 > L4: IHD - Stable Angina > Flashcards

L4: IHD - Stable Angina Flashcards

1
Q

Def of Stable Angina

A

It Is a clinical syndrome of chest pain due to imbalance between oxygen supply & demands of the myocardium.

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2
Q

Etiology of Stable Angina

A
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3
Q

Etiology of Stable Angina

  • Decreased myocardial oxygen supply
A
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4
Q

Etiology of Stable Angina

  • Increased myocardial oxygen demand
A
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5
Q

CP of Stable Angina

A
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6
Q

CP of Stable Angina

  • Symptoms
A
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6
Q

Chest Pain in Stable Angina

  • Site
A
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7
Q

Chest Pain in Stable Angina

  • Character
A
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8
Q

Chest Pain in Stable Angina

  • Radiation
A
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9
Q

Chest Pain in Stable Angina

  • Duration
A
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10
Q

Chest Pain in Stable Angina

  • PPT Factors
A
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11
Q

Chest Pain in Stable Angina

  • Relieving Factors
A
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12
Q

Chest Pain in Stable Angina

  • Associations
A
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13
Q

Chest Pain in Stable Angina

  • Relation to respiration, cough, or change in position.
A
  • Pain intensity does not change with respiration, cough, or change in position.
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14
Q

Chest Pain in Stable Angina

  • Others
A
  • Patients with IHD can also present with the radiating pain but no central chest pain, or with no pain at all (Sient ischemia).
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15
Q

CP of Stable Angina

  • Signs
A
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16
Q

Signs of Stable Angina

  • Usually ……
A

NO abnormal finding

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17
Q

Signs of Stable Angina

  • RF
A
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18
Q

Signs of Stable Angina

  • Levine Sign
A
  • positive levine sign; characterized by the patient’s fist clenched over the sternum when describing the pain.
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19
Q

Signs of Stable Angina

  • Chest Wall Pain
A
  • Pain produced by chest wall pressure is usually of chest wall origin.
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20
Q

Signs of Stable Angina

  • Sympathetic stimulation
A

pallor, tachcardia & hypertension ( secondary to sympathetic stimulation).

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21
Q

Signs of Stable Angina

  • Auscultation
A
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22
Q

Signs of Stable Angina

  • In Between Attacks
A
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23
Q

Signs of Stable Angina

  • Criteria for classification of chest pain
A
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24
Q

INVx in Stable Angina

A
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25
Q

INVx in Stable Angina

  • ECG
A
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26
Q

ECG in Stable Angina

  • Resting ECG
A
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27
Q

ECG in Stable Angina

  • Holter ECG
A

to detect silent ischemia & Prinzmetal Angina

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28
Q

ECG in Stable Angina

  • Stress ECG
29
Q

Stress test is contraindicated In:

30
Q

INVx in Stable Angina

  • Echo & Dubutamine Echo
A
  • may show abnormal motion of the myocardium
31
Q

INVx in Stable Angina

  • Nuclear Imaging
32
Q

INVx in Stable Angina

  • Coronary Angiography
33
Q

INVx in Stable Angina

  • Labs
34
Q

Imaging tests for suspected CAD

35
Q

Imaging tests for suspected CAD

  • Stress Testing
36
Q

Imaging tests for suspected CAD

  • Anatomical Testuing
37
Q

Advantage of myocardial perfusion imaging is …..

A

Identify presence and amount of ischemia & guide revascularization

38
Q

Canadian cardiovascular society functional classification of angina

39
Q

Canadian cardiovascular society functional classification of angina

  • Grade I
40
Q

Canadian cardiovascular society functional classification of angina

  • Grade II
41
Q

Canadian cardiovascular society functional classification of angina

  • Grade III
42
Q

Canadian cardiovascular society functional classification of angina

  • Grade IV
43
Q

TTT of Stable Angina

44
Q

TTT of Stable Angina

  • In Between Attacks
45
Q

TTT of Stable Angina

  • Control of RF
46
Q

TTT of Stable Angina

  • Pharmacologic Therapy
47
Q

Pharmacologic Therapy in Stable Angina

  • Nitrates
48
Q

Nitrates in Stable Angina

  • MOA
49
Q

Nitrates in Stable Angina

  • Preparations
50
Q

Nitrates in Stable Angina

  • SE
51
Q

Beta Blockers in Stable Angina

52
Q

Beta Blockers in Stable Angina

  • MOA
53
Q

Beta Blockers in Stable Angina

  • Preparation
54
Q

Beta Blockers in Stable Angina

  • SE
55
Q

CCBs in Stable Angina

  • MOA
56
Q

CCBs in Stable Angina

  • Preparations
57
Q

CCBs in Stable Angina

  • SE
58
Q

Antiplatlets in Stable Angina

59
Q

New Drugs in Stable Angina

60
Q

New Drugs in Stable Angina

  • Ivabradine
61
Q

New Drugs in Stable Angina

  • Ranolazine
62
Q

New Drugs in Stable Angina

  • Nicroandil
63
Q

New Drugs in Stable Angina

  • Trimetizadine
64
Q

TTT of Stable Angina

  • Coronary Revascularization
65
Q

Coronary Revascularization in Stable Angina

  • Indications
A
  • Angina not responding to medical treatment.
  • Post infarction angina to improve the prognosis
66
Q

Coronary Revascularization in Stable Angina

  • Techniques
67
Q

Coronary Revascularization in Stable Angina

  • PTCA (Technique & Indications)
68
Q

Coronary Revascularization in Stable Angina

  • CABG (Technique & Indications)
69
Q

TTT of Stable Angina

  • In Actual Attack
70
Q

If the patient is not relieved after the use of 2-3 tablets, the patient should …….

A

be immediately transferred to hospital & evaluated for the possibility of myocardial infarction.

Y4R7 - Medicine III 🩺 (26 decks)

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