ANGINA

Question 1

PCI>CABG

Answer 1

boala uni/bivasculara ce nu intereseaza IVA sau TC
<65 ani
anatomie favorabila

Question 2

PCI=CABG

Answer 2

stenoze IVA proximala/TC
boala trivasculara (FARA DZ)
scor SYNTAX 0-22

Question 3

CABG>PCI

Answer 3

boala trivasculara
DZ
scor SYNTAX >22
>65 ani
anatomie nefavorabila

Question 4

BISOPROLOL-reactii adverse

Answer 4

astenie
vasoconstrictie periferica (maini, picioare reci)
bronhospasm
disfunctie sexuala

Question 5

VERAPAMIL, DILTIAZEM-CI

Answer 5

bradicardie severa
insuficienta ventriculara stanga cu staza pulmonara
BAV II sau III

Question 6

Nicorandil-R.A.

Answer 6

inrosirea fetei
cefalee
ulceratii orale

Question 7

Nicorandil-mecanism de actiune

Answer 7

activator canale K ATP sensibile la ATP, avand actiune vasodilatatoare

Question 8

Ranolazina-mecanism de actiune

Answer 8

inhiba canale Na din cardiomiocite
metabolizat de citocrom p450

Question 9

Ranolazina-R.A.

Answer 9

sindrom QT lung
constipatie
ameteala

Question 10

Fluxul sangvin coronarian intr-un segment miocardic poate fi redus prin obstructia mecanica a unui vas determinata de:

Answer 10

1. boala aterosclerotica a vaselor coronare
2. tromboza supra-adaugata
3. embolie coronara
4. spasm coronar
5. stenoze ostiale coronare
6. vasculite coronare (LES)

Question 11

Urmatoarele afectiuni pot duce la scaderea fluxului coronarian de sange oxigenat:

Answer 11

1. anemie
2. carboxihemoglobina
3. hipotensiune

Question 12

Cresterea necesarului de oxigen poate aparea datorita:

Answer 12

1. DC crescut-tireotoxicoza
2. hipertrofie miocardica:
   -stenoza aortica
   -hipertensiunea arteriala sistemica