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

L4: IHD - Unstable Angina Flashcards

1
Q

Types of Acute Coronary Syndrome

A
  1. Unstable angina.
  2. ST elevation myocardial infarction (STEMI).
  3. Non ST elevation myocardial infarction (NSTEMI).
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2
Q

Def of Unstable Angina

A
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3
Q

Etiology of Unstable Angina

A
  • Non occlusive coronary thrombosis on top of atherosclerosis
  • Post MI angina.
  • Recent onset angina
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4
Q

INVx in Unstable Angina

A
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5
Q

CP of Unstable Angina

A
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6
Q

TTT of Unstable Angina

A
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7
Q

TTT of Unstable Angina

  • aim
A

to reduce progression to MI

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8
Q

TTT of Unstable Angina

  • Medical
A
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9
Q

Medical TTT of Unstable Angina

  • Aspirin
A
  • A dose 150-300 mg is given as a initial dose and
  • this is followed by 75 mg
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10
Q

Medical TTT of Unstable Angina

  • Clopidogril
A
  • loading dose of 300 mg followed by 75 mg once daily
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11
Q

Medical TTT of Unstable Angina

  • Enoxaparin (Clexane)
A
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12
Q

Medical TTT of Unstable Angina

  • Statins
A
  • All patients should be started with atorvastatin 40 to 80 mg per day.
  • The lower the LDL achieved, the better the outcome
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13
Q

Medical TTT of Unstable Angina

  • NItrates
A
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14
Q

Medical TTT of Unstable Angina

  • beta Blockers
A

All patients should be given beta blockers unless there is a contraindication

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15
Q

Medical TTT of Unstable Angina

  • ACEIs
A

….

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16
Q

TTT of Unstable Angina

  • Coronary revascularization
A

PTCA / CABG

17
Q

Other Types of Angina

18
Q

Other Types of Angina

  • Decubitus angina
A

usually on lying down (occurs in HF).

19
Q

Other Types of Angina

  • Nocturnal angina
A

It awakens the patient from sleep, associated with dreaming

20
Q

Other Types of Angina

  • Angina of Lewis
A

in cases of AR, it is nocturnal & prolonged

21
Q

Other Types of Angina

  • Prinzmetal angina
22
Q

Causes of Prinzmetal Angina

A
  • spasm of coronary artery with or without atherosclerosis
  • Unpredictable, at rest.
23
Q

ECG in Prinzmetal Angina

A

Transient ST elevation

24
Q

TTT of Prinzmetal Angina

Y4R7 - Medicine III 🩺 (26 decks)

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