path of CAD

Question 1

main cardiac cause of death in USA

Answer 1

80% coronary ischemic heart disease. also congee, valve, HTN

Question 2

clin of CAD

Answer 2

angina pectoris, MI, chronic ischemic, sudden death

Question 3

types of angina pectoris

Answer 3

chronic stable, prinz, unstable crescendo

Question 4

risk factors for CAD

Answer 4

smoking, HTN, smoking, age, SM, obesity, FH, sex

Question 5

path of MI

Answer 5

acute plaque change> block vessel

Question 6

types of infarction

Answer 6

transmural, subendocardial, multifocal

Question 7

transmural

Answer 7

entire wall (endo>episode), most common, usually LAD, right, or Lcx

Question 8

subendocardial

Answer 8

inner 1/3 have LU, usually circumflex, mult vessels. hypoerfusion, shock

Question 9

micro changes 24 hours

Answer 9

wavy fibers, contraction nabs necrosis, eosinophilic myocyes,

Question 10

24 hr macro

Answer 10

cut surface pallor, dark motility

Question 11

2-4 day micro

Answer 11

PNMs, interstitial edema/hemm, no nuclei, loose striation

Question 12

2-4 day macro

Answer 12

rotting with yellow/tan

Question 13

7-10 day micro

Answer 13

few PNM, Mphage, fblast/collogen, lymphcoytes

Question 14

7-10 macro

Answer 14

sharp hyperemic outline, central necrotic region (pale, gelat)

Question 15

2-8 week micro

Answer 15

granulation tissue, blast, chronic inflam

Question 16

2-8 week macro

Answer 16

gret/white scar. aneurysm risk

Question 17

complications of MI

Answer 17

contractile disfunction (shock), arrhythmia, rupture, aneurysm, mural thromb/embolism