Secondary prevention of heart disease Flashcards

1
Q

What is the pharmacological treatment for secondary heart disease?

A
Statin
Aspirin
Anti-platelet 
ACE inhibitor
Beta blocker
\+heart failure treatment if present
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2
Q

When is a proton pump inhibitor added to treatment of secondary HF?

A

If patient is over 60 and are on dual antiplatelet therapy

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3
Q

If patient has hypersensitivity to aspirin. Monotherapy is given. What drug is this?

A

Clopidogrel

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4
Q

How long is aspirin taken for post MI?

A

Indefinitely

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5
Q

If patient has had PCI what treatment is given instead of aspirin?

A

Anti-coagulant and clopidogrel

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6
Q

Which proton pump inhibitor interacts with clopidogrel?

A

Omeprazole

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7
Q

How long are aspirin and clopidogrel given for in medically managed STEMI?

A

1 month

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8
Q

How long are aspirin and clopidogrel given for in NSTEMI?

A

12 months

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9
Q

What DAPT is given to a patient that has had a stent placed in their artery?

A

Aspirin and ticagrelor for 12 months

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10
Q

When are B-blockers started post MI?

A

As soon as patient is haemodynamically stable - within 7 days of MI

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11
Q

Highest dose of B-blocker is given post MI. True or false?

A

False - dose is titrated up to max tolerated dose

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12
Q

How long are B-blockers given for?

A

Long term if they have heart failure post MI, otherwise min of 12 months

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13
Q

What is the aim of treatment when using statins in secondary heart disease?

A

Decrease mortality post MI

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14
Q

How long are ACE inhibitors taken for post MI?

A

indefinitely

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15
Q

Syncope is a side effect of which group of drugs?

A

ACE inhibitors

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16
Q

Do nitrates have an effect on mortality?

A

No - used for symptomatic benefits only for chest pain

17
Q

Rate limiting CCBs are an alternative if which class of drugs is contraindicated?

A

B-blockers

18
Q

When is eplerenone used?

A

Heart failure of LV dysfunction post MI