Trigger - IHD part 1

Question 1

lasts 1-15 minutes
goes away with rest and/or NTG

Answer 1

stable angina

Question 2

Nitro does not help this and this is an emergency. warning of impending MI

Answer 2

unstable angina

Question 3

at what phase of ACS will myocytes not be able to return to normal

Answer 3

infarction

Question 4

irreversible myocardial injury resulting in necrosis of a portion of the myocardium is the definition of what

Answer 4

myocardial infarction

Question 5

can involve LV wall, ventricular septum or papillary muscle

Answer 5

subendocardial/NSTEMI/ non Q wave MI

Question 6

EKG shows ST depresion or T wave inversion

Answer 6

NSTEMI

Question 7

this MI type extends through the whole thickness of the heart muscle wall

Answer 7

transmural/STEMI/ Q wave MI

Question 8

Inferior wall of LV and the whole RV are supplied by….

Answer 8

RCA

Question 9

which type of MI includes involevement of the sinus node, resulting in a deceased HR

Answer 9

Inferior wall MIs (RCA affected)

Question 10

Anterior wall of LV and the septal wall are supplied by what artery

Answer 10

left anterior descending artery

Question 11

this type of MI will result in decreased BP and increased HR.

Answer 11

Anterior wall MI ( Left anterior descening artery)

Question 12

lateral wall of LV is supplied by what artery

Answer 12

left circumflex artery

Question 13

Reversible myocardial dysfunction following reperfusion of an ischemic insult.

Answer 13

myocardial stunning

Question 14

what is typical age presentation for MI

Answer 14

male >50 female >60

Question 15

what position is considered an aggravating factor for MI patients

Answer 15

Supine position

Question 16

what time of day is considered aggravating for MI patients

Answer 16

morning time

Question 17

what are associated symptoms for women that are different from normal associated symptoms

Answer 17

pressure/pain in lower chest/upper abdomen
extreme fatigue
lightheadedness
fainting
upper back pressure

Question 18

prinzmetal angina is MC involved in what artery

Answer 18

RCA

Question 19

treated with CCB and nitrates

Answer 19

prinzmetal angina

Question 20

MC in middle aged women

Answer 20

prinzmetal angina

Question 21

A result of prolonged reduction in blood flow from coronary artery disease.
Causes ventricular contractile dysfunction that will improve once blood flow improves¹

Answer 21

hibernating myocardium

Question 22

LOOK AT HEART SCORE DUDE

Answer 22