Partial 4 - Ischemic Heart Disease Flashcards
1
Q
Asymptomatic or silent MI is typical for
A
Diabetes and Hypertension
2
Q
Atypical presentation of MI includes
A
CHF Classic angina without severe or prolonged attack Atypical location of pain CNS manifestations resembling those of stroke Apprehension and nervousness Sudden mania or psychosis Syncope Overwhelming weakness Acute indigestion Peripheral embolization.
3
Q
Stable angina pectoris
A
75% vessel block
Transient (<15 minutes)
Aggrevated by exertion
Relived by rest and nitroglycerin
4
Q
Prinzmetal angina pectoris
A
Coronary spasm
Episodic
ST elevation
Relived by vasodilators but not rest
5
Q
Unstable angina pectoris
A
90% vessel block Acute plaque change (superimposed thrombus) Prolonged (>15 minutes) Not relieved by rest or nitroglycerin Increased CRP
6
Q
Non MI causes of troponin elevation
A
Tachycardia Pulmonary embolism Cardiac failure Cardiac surgery Myocarditis Renal failure
7
Q
Acute Myocardial Infarction Comlications
A
Death Non-fatal arrhytmia Acute left ventricular failure Cardiogenic shock Papillary muscle rupture and mitral regurgitation Myocardial rupture and tamponade Ventricular aneurysm and thrombus
8
Q
Bernard-Soulier syndrome
A
Deficiency in Glycoprotein Ib and Von Willebrand factor
9
Q
Glanzmann thromboplasthenia
A
Deficiency in Glycoprotein IIb and IIIa
10
Q
Which cardiac rupture is the most common
A
Left ventricular free wall rupture
