stable coronary artery disease

Question 1

largest risk factor for CAD

Answer 1

Age

Question 2

risk for CAD returns to baseline after how many years of quitting smoking?

Answer 2

2-3 years

Question 3

Characteristics that point away from angina include

Answer 3

• localized to one finger tip
• middle/lower abdo
• radiates into lower extremities

Question 4

pain that is reproduced by movment or palpation is

Answer 4

NOT angina

Question 5

pain that is very brief or constant for many hours

Answer 5

IS NOT angina

Question 6

angina walked for > 2 blocks or 1 flight of stairs is which class?

Answer 6

Class 2

Question 7

typical angina is relieved by

Answer 7

Rest and nitroglycerin

Question 8

3 ways to assess functional heart activity

Answer 8

• stress test
• nuclear test
• stress ECHO

Question 9

2 ways to assess structural heart

Answer 9

• CTA

- coronary angio

Question 10

3 ways to stress the heart

Answer 10

• Exercise
• vasodilators - persantine, adenosine
• Dobutamine

Question 11

what % of stenosis before you get discomfort

Answer 11

70%

Question 12

the treadmill test is accurate for what % of severely narrowed arteries

Answer 12

65% accurate

Question 13

accuracy of the nuclear test

Answer 13

85%

Question 14

a reversible defect in perfusion suggests

Answer 14

ischemia

Question 15

a fixed defect implies

Answer 15

a prior infarct

Question 16

how much does normal heart muscle thicken when it contracts?

Answer 16

50%

Question 17

eCHO testing is how accurate?

Answer 17

90%

Question 18

Wall motion abnormalities are

Answer 18

abnormal heart thickening

Question 19

Gold standard test to assess heart structure

Answer 19

Coronary angiography

Question 20

anti-anginals to treat STABLE CAD

Answer 20

• beta blockers
  nitrates
  Ca channel blockers
  exercise