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Cardiovascular CP3 > IHD > Flashcards

Flashcards in IHD Deck (15)
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1
Q

IHD RF/causes

A

smoking

htn etc

2
Q

morphology

A

STEMI: full thickness
NSTEMI: partial thickness
UA: partial occlusion
SA: partial occlusion, adequate O2 except w/ exercise

3
Q

typical ACS history

A

dull central crushing chest pain
gradual onset
exertion worse
SANS

4
Q

typical ACS signs

A

xanthelasmata, tendon xanthoma

5
Q

ACS differentials

A
MI/UA/SA
pericarditis, myocarditis
aortic dissection
PE, GORD, pneumo, PTx, MSK
***MAAP PPP***
6
Q

STEMI Mx

A

MONA

BROMANCE

7
Q

NSTEMI/UA Mx

A

???bromance

8
Q

Secondary prevention

A
A-SCAB
ACEI
statin
clopidogrel 
aspirin
beta-blocker
9
Q

ACS complications

A
heart failure, haemoperi/tamponade
systemic emboli, DVT/PE
LVH, LV aneurysm, LV rupture, VSD
papillary mm rupture, mitral regurg
arrhythmias (tachy/brady), arrest
pericarditis, Dressler's
10
Q

Thrombolysis

A

indications:

contraindications: warfarin/heparin?

11
Q

cardiac rehab

A

driving: Sx controlled and not at rest/emotion
employment: exercise tolerance, fatigue, infections, medication SE

12
Q

causes and RF of SA

A
CAD
VHD
HCM
tachyarryhtmia
small vessel disease
anaemia

smoking, fat, DM, HTN, male, age, exercise and diet

13
Q

angina pathology

A

fatty streaks, endothelial damage and inflammation
foam cells and cytokines
intima muscularisation, media compression atrophy
hyaline fibrosis and enlargement
fibrous cap, calcification, fissuring

14
Q

angina investigation

A

bloods and ECG: resting/exercise
scintography (perfusion), echo, and angiography

exclude precipitants: anaemia, DM, thyroid, GCA, lipids

15
Q

treatments

A
lifestyle/RF
aspirin: antiplatelet/occlusion
beta-blockers: HR/BP; O2 requirement
nitrates: vasodilation
CCB: vasodilation +/- HR
nicorandil (K-channel activator)
ivrabradine (HR)

*prinzmetal: CCB + nitrates; not BB/aspirin

PCI (balloon + stent) or CABG