Management of Myocardial Infarction

Question 1

Conorary atherosclerosis

Answer 1

blockage of conorary artery by plaque

Question 2

what is exertional angina

Answer 2

blood flow is low because arteries are blocked by fibrous caps

Question 3

how to treat chronic stable angina

Answer 3

lifestyle- smoking, drinking
medical therapy- blood pressure, cholesterol
revascularisation- for symptoms

Question 4

how can MI be fatal

Answer 4

causes heart attack by causing thrombus in conorary artery

Question 5

Why are people living longer these days

Answer 5

Because deaths from heart disease and MI has decreased

Question 6

how has heart disease decreased

Answer 6

less heart attacks and higher survival chance, risk factors have better treatments

Question 7

what are consequences of plaque rupture

Answer 7

blood clot forms and leads to 1 of 3 things:
can be complete blockage- acute transmural myocardial infarct
can be partial blockage- ACS
can be small blockage- chest pain

Question 8

2 types of atherosclerosis

Answer 8

stable plaque- large fibrous cap- restrict blood flow
vunerable plaque- small fibrous cap- good blood flow but suseptible to plaque rupture

Question 9

How to treat Myocardial Infarction

Answer 9

need to act quickly with defibrilator as if MI reaches a certain point patient has low survival chance.
get to hospital quick
patient needs medicines that have been clinically trialed
get to right hospital not closest

Question 10

name some drugs and treatments that can be used to treat MI

Answer 10

beta blockers, Aspirin, Statins, Clopidogrel
they have small mortality
biggest factor would be experienced doctors to give best treatment of personal patient
personalised medicine can also be beneficial