Coronary Heart Disease

Question 1

What is CHD also known as?

Answer 1

Coronary artery disease and inchaemic heart disease

Question 2

Where can angina pain be located?

Answer 2

Belly button to jaw
Shoulder to hand
Usually left hand side

Question 3

What 3 things result from the narrowing of the arteries due to atheroma?

Answer 3

Not enough oxygen reaches the heart
Oxygen demand exceeds supply
Heart muscle is hypoxic

Question 4

What are the consequences of blocked arteries?

Answer 4

Heart cells die
Electrical misbehaviour (arrhythmia)

Question 5

What types of drugs are required to treat an MI?

Answer 5

Beta blocker
ACE inhibitor
Anti platelet
Major painkillers
Thrombolytics

Question 6

What is the most common Nitrovasodilator?

Answer 6

Glyceryl Trinitrate (GTN)

Question 7

What routes can GTN be administered?

Answer 7

Sublingual tablet
Nasal spray
Transdermal patch

Question 8

What are the 2 most common side effects with nitrates and why?

Answer 8

Throbbing headache - cerebral vasodilation

Dizziness - lowered bp