stable IHD

Question 1

Syntax score with LM and score >33

Answer 1

CABG

Question 2

3 v dz survival advantage with cabg syntax cut off

Answer 2

22

Question 3

LM dz syntax score number in which survival advantage is conferred with chosing CABG over LM stenting

Answer 3

33

Question 4

1 to 2 v CAD with pLAD then what is treatment of choice

Answer 4

Heart team discussion (the answer is not directily to PCI)

Question 5

Only time can do PCI upfront for LM or LAD dz

Answer 5

High surgical risk (but would still answer heart team discussion bc how can that be the wrong answer!!!!

Question 6

When is CABG > PCI

Answer 6

DM (freedom and heads paper in the lancet) and low ef

Question 7

How long post revasc procedure do you do nuc

Answer 7

2 years post PCI and 5 years post cabg

Question 8

dapt score variables

Answer 8

age (older take off points), DM, cig, prior pci or mi, chf EF < 30% 2 points, vein graft pci ad stent diameter <3 and MI at presentation

Question 9

Nuclear type of camara

Answer 9

gamma

Question 10

Thallim vs. technicum

Answer 10

3x radiation with thalium

Question 11

Boards lession

Answer 11

when down to 2 do the thing seen in clinical practice
also always exercise them if you can.
boards will challenge but the will not trick

Question 12

regadensaon over adenosine big benefeit

Answer 12

less bronchospasm

Question 13

we only use thalium now for

Answer 13

viabililty

Question 14

Thallium

1. atomic number
2. MOA
3. t1/2 3 days

Technecium

1. atomic number
2. MOA
3. t1/2 3 days

Answer 14

1. 201
2. K analong active transport in and out of cells (why its a good viability tracer

Technecium

1. 99
2. passibe diuffsuion into mito
3. 6 hrs

Question 15

what is the px of a negative nuc exercise stress

Answer 15

< 1 % per year (0.6% all pts without prior coronary dz) risk of death and mi. if no dm that’s over 5 years.

Question 16

High risk findings on nuc

Answer 16

> 10% myocardium 
Stessed induced wall motion
increased lung uptake 
increased rv uptake
tID
EF M 45
wma
abn stress respsonse

Question 17

ASx pts

Answer 17

wont be asked to stress them