CV pt. 2 - CAD and MI

Question 1

coronary artery disease

Answer 1

narrowing or blocking of artery can lead to part of the heart becoming ischemic

Question 2

atherosclerosis

Answer 2

hardening of the arteries

Question 3

thrombus

Answer 3

clot forms on plaque that is built up on artery walls

Question 4

spasm

Answer 4

sudden constriction of coronary artery
BF cut off or decreased
can lead to infarct

Question 5

CAD modifiable risk factors

Answer 5

physical inactivity
smoking
diabetes
obesity

Question 6

CAD other risk factors

Answer 6

bacterial exposures
high myocysteine levels, alpha lipoprotein levels and fibrinogen
large CRP amount
troponin T presence
diagonal earlobe
cancer treatment hx

Question 7

who do you refer to if CV symptoms present

Answer 7

pt’s PCP

Question 8

whats the leading cause of death for females

Answer 8

heart disease

Question 9

angina

Answer 9

pain in chest
imbalance btw cardiac workload and O2 supply to heart muscle

Question 10

chronic stable angina

Answer 10

occurs at predictable level
responds to rest or nitroglycerin

Question 11

unstable angina

Answer 11

abrupt change in symptoms
1-5 min duration
can progress to heart attack

Question 12

is unstable angina relieved from rest

Answer 12

no, nitro dont work either = MI RISK

Question 13

unstable or stable angina requires MD assessment

Answer 13

unstable

Question 14

resting angina

Answer 14

chest pain at rest in supine

Question 15

nocturnal angina

Answer 15

wakes a person from sleep w/ same sensation felt during exertion

Question 16

atypical angina

Answer 16

abnormal SxS w/ physical or emotional exertion
does subside w/ rest or nitro

Question 17

prinzmetals angina

Answer 17

abnormal or involuntary coronary artery spasm rather than plaque buil up

Question 18

when do u need immediate medical services if angina present

Answer 18

if pain not relieved from rest
pain not relieved with up to 3 nitro tables in 10-15 mins

Question 19

angina SxS

Answer 19

pain/pressure behind breast bone
pain to neck, jaw, shoulder, arms
toothache
burning indigestion
dyspnea
nausea
belching

Question 20

MI

Answer 20

ischemia and necrosis of myocardial tissue
decrease in coronary perfusion / increase in myocardial O2 demand w/o supply

Question 21

MI SxS in women - what differences are there from men?

Answer 21

mental status change in older women
stomach pain
anxiety/depression
sometimes relieved from antacids
sensation to cold air