TCVS Flashcards
What is the diagnosis for a patient with 2-mm depression in V2-V6 and chest pain?
NSTEMI (Non-ST Elevation Myocardial Infarction)
What treatment is given for a patient with 90% LAD and 80% RCA stenosis?
Coronary Artery Bypass Graft (CABG) or PCI
What are the main risk factors for Coronary Artery Disease?
Smoking, Diabetes, Hypertension, Hyperlipidemia, Sedentary Lifestyle
Which coronary arteries are most commonly involved in CAD based on the case?
Left Anterior Descending (LAD) artery and Right Coronary Artery (RCA)
What medications are commonly used to manage CAD?
Nitroglycerin, Heparin, Metoprolol, Eptifibatide
What is the gold standard diagnostic tool for CAD?
Coronary Angiography
What are the key surgical options for CAD treatment?
CABG and PCI
What is the significance of a 6-hour window in treating myocardial infarction?
Thrombolysis (using streptokinase or urokinase) is most effective within 6 hours of onset
What is the patency rate for saphenous vein grafts in CABG after 10 years?
65-75%
What is the NYHA classification used for?
Classifying the severity of heart failure in patients
where you can visualize chamber size, wall motion, shunts, valve pathology, LV function, effusion
2-Dimensional Echocardiography with Doppler
cardiac silhouette, pulmonary congestion, associated pulmonary pathology
Chest Xray
transmural infarct, ventricular scar & aneurysm
MRI
chamber pressures, cardiac output, shunt quantification, wall motion, coronary anatomy
Cardiac Catheterization/Coronary Angiography
how to visuallize intraluminal calcium
Computed Tomography (CT) Coronary Angiography
Supplies AV Node
Right posterolateral coronary artery
