Myocardial Infarction/Myocardial Revascularization

Question 1

Benefits of using bilateral internal mammary arteries?

Answer 1

Question 2

Benefits of using the LIMA?

Answer 2

Question 3

Benefits of multi-arterial grafting?

Answer 3

Question 4

Postop CABG: Causes of mortality?

Answer 4

Question 5

CABG:

Chronic total occlusion/characteristics of:

Answer 5

Question 6

CABG for LV dysfunction

Answer 6

Question 7

CABG for Survival: Indications

Answer 7

Question 8

CABG for Symptoms: Indications

Answer 8

Question 9

CABG in Diabetics

Answer 9

Question 10

Indications for CABG?

Answer 10

Question 11

Mortality after CABG

1. Highest
2. Lowest

Answer 11

Question 12

CABG Timing:

1. Stemi
2. When should be delayed after STEMI
3. Recurent ischemia or infarction
4. Stable patients

Answer 12

Question 13

CABG’s effect on LV function?

Answer 13

Question 14

Name the 8 cardiac operations for which an STS risk score can be calculated?

Answer 14

Question 15

Name the post-MI rupture syndromes?

Answer 15

Question 16

Coronary endarterectomy:

1. Indications
2. Mortality
3. Perioperative MI
4. Compared to CABG w/o endarterectomy

Answer 16

Question 17

Transmyocardial revascularization:

1. Description of operation
2. Effect on:

• Angina
• Exercise tolerance

Answer 17

Question 18

Measure of a significant stenosis on:

1. FFR
2. iFR

Answer 18

Question 19

Pedicled vs skeletonized IMA?

Answer 19

Question 20

Indications for CABG after prior CABG

Answer 20

Question 21

Indications for CABG in stable ischemic disease

Answer 21

Question 22

Indications for CABG when having ventricular arrythmias?

Answer 22

Question 23

Indications for CABG after failed PCI

Answer 23

Question 24

Indications for CABG in patients with a reduced EF?

Answer 24

Question 25

Indications for EMERGENT CABG?

Answer 25

Question 26

IVUS: minimum luminal area 1. Non- left main vessel 2. left main

Answer 26

Question 27

Answer 27

Question 28

Answer 28

Question 29

Answer 29

Question 30

Answer 30

Question 31

Patency rates of bypass conduits?

Answer 31

Question 32

Pathophysiology of a MI

Answer 32

Question 33

Indications for PCI?

Question 34

Radial artery conduit characteristics: * Spasm propensity compared to IMA * The medication most effective for spasm * Patency in relation to: 1. % stenosis 2. left vs right side 3. proximal anastomosis: direct to aorta or off vein?

Answer 34

Question 35

Re-do CABG vs PTCA: * Factors that favor CABG * Factors that favor PTCA 1. Stenosis: late Vs early 2. # of stenotic grafts 3. Graft to LAD 4. Ejection fraction

Answer 35

Question 36

Indications for a re-operative CABG?

Answer 36

Question 37

SVG Characteristics?

Answer 37

Question 38

Strategies for a safe reoperative CABG?

Answer 38

Question 39

Top 3 STS variables associated with morbidity?

Answer 39

Question 40

Top 3 STS variables associated with mortality?

Answer 40

Question 41

MI: Contraindications to thrombolytics

Answer 41

Question 42

MI: Indications to use thrombolytics

Answer 42

Question 43

Timing of CABG after MI 1. STEMI 2. NSTEMI

Answer 43

Question 44

What is the TIMI risk score and what is it used for?

Answer 44