CVS Disease Flashcards
(157 cards)
Coronary Heart Disease causes include
increased LDL smoking bad diet family history increased BP stress anaemia hyperthyroid
Coronary Heart Disease can cause
endothelial injury fatty streaks fibrous cap foam cells atherosclerosis
Coronary Heart Disease (CHD) signs include
anaemia tar staining bruits reduced pulses lipid arcus
Symptoms of CHD could be
(un)stable angina
raised JP
pre-syncope
dyspnoea
How can CHD be investigated?
angiography echo ECG U&Es liver enzymes FBC CXR
What are the treatments for CHD?
NSAIDS Statins Treat underlying problem (smoking, diet etc) Bypass GTN CCBs Stenting
What are the causes of an NSTEMI and STEMI?
Unstable angina
ACS (acute coronary syndrome)
What can an NSTEMI cause?
atheroma
rupture
necrosis
On an ECG, what can show an NSTEMI?
path Q waves
ST depression
also increases troponin
What are the symptoms of an NSTEMI?
(un)stable angina
What investigations should be done for an NSTEMI?
ECG
increased troponin and myoglobin tests
angio
echo
What can treat an NSTEMI?
Aspirin Clopidogrel Heparin Statins B-blockers CABG ACE inhibitors Pain meds
What can a STEMI cause?
Atheroma
Rupture (=thrombosis)
Necrosis
Ischaemia
What signs show a STEMI?
ST elevation
increased troponin
increased CK-MB
What physical symptoms can show a STEMI?
severe chest pain dyspnoea fatigue, sweaty syncope pale skin, clammy decreased BP brady/tachycardia
What investigations should be done for a STEMI?
ECG increased troponin and CK-MB tests FBC Glucose Lipid profile Echo
What can treat a STEMI?
Aspirin GTN Oxygen IV pain meds ACE inhibitors Beta Blockers Streptokinase Lifestyle changes
In Ischaemic Heart Disease (IHD), what can cause it?
atheroma smoking increase lipids thrombosis or embolus anaemia
What does IHD cause?
decreased oxygen decreased lung function tachycardia increased lactate myocardial necrosis
What signs may show IHD?
pallor
oedema
yellow infarct
What are the symptoms of IHD?
angina
dyspnoea
sweating
nausea/vomiting
What investigations should be done for IHD?
ECG
increased troponin
ST depression/flat
How do you treat IHD?
decrease the risk factors
angina meds
CHD treatments
control BP well
What causes aortic valve disease (stenosis)?
rheumatic fever
congenital causes
fusion of cusps
calcification