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Flashcards in CAD Deck (6)
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1
Q

Which treatment of UA/NSTEMI are known to prolong survival?

A

Beta-blockers, Aspirin, Statin

2
Q

Which patients with unstable angina and NSTEMI need urgent angiography and revascularization? (list two at least)

A
  • heart failure or left ventricular dysfunction
  • Hemodynamic instability or cardiogenic shock
  • New or worsening mitral regurgitation
  • Sustained ventricular arrhythmias
  • Recurrent or persistent rest angina
3
Q

What are the goals of STEMI management? List all 5

A
  • relieve pain
  • correct abnormal hemodynamics (vital signs)
  • initiation of reperfusion therapy
  • Antithrombotic therapy to prevent re-thrombosis or acute stent thrombosis
  • Beta-blocker therapy to prevent recurrent ischemia & life-threatening ventricular arrhythmias
4
Q

What are the clinical features of vasospastic angina?

A
  • angina symptoms during rest
  • symptoms associated with transient ST segment elevation
  • they’re triggered by coronary artery vasospasm
  • the symptoms happen despite absence of high grade coronary artery stenosis
5
Q

What is the Management of vasospastic angina?

A

-Smoking cessation
-Long acting nitrates
-Calcium channel blockers
They prevent vasoconstriction & promote vasodilation of coronary

6
Q

How do you differentiate between vasospastic angina from true STEMI?

A
  • Patients are usually younger
  • Family history of Prinzmental angina
  • few to none cardiovascular risk factors
  • Repeat EKG after 15min with total resolution of ST segments