Coronary Atherosclerotic Disease Flashcards
coronary atherosclerotic disease is foundation of what?
chest pain and MI
what can feel like a heart attack?
pts who have bad acid reflux
angina is commonly seen in pts who do what drug?
crack cocaine
what is the founding cause of coronary atherosclerotic disease?
atherosclerosis
atherosclerosis
inflammation - plaque - stenosis
cause of atherosclerosis
exact unknow but is multifactorial
- hypertension
- type 2 diabetes
- abnormal blood lipid levels
- tobacco
- physical inactivity
- obesity
what is a significant factor to heart disease?
hypertension
atherosclerotic disease starts out what?
asymptomatic but as plaque grows and stenosis worsens, will result in clinical symptoms (ischemic heart disease)
symptoms of coronary atherosclerotic disease
- oxygen demand > supply
- chest discomfort = ischemia
the most important symptom of someone that has had coronary atherosclerotic disease and #1 way to determine if treatable?
angina
stable angina
- precipitated by physical effort
- transient
how is stable angina relieved?
- rest
- nitroglycerin
what is the prognosis of stable angina?
good
unstable angina
- precipitated by effort or rest
- changing character
- difficult resolution
what is the prognosis of unstable angina?
poor
is stable angina reversible?
yes
when does stable angina occur?
when there is an increased demand on the heart
unstable angina may be associate with what?
heart attack