Flashcards in Ischaemic Heart Disease and MI Deck (50)
Co-morbidities associated with angina?
diabetes, PVD, MI, COPD
Primary prevention for MI is...
when there is no history of an MI - trying to prevent happening in first place
Secondary prevention for MI is...
when preventing further MIs after a history of having one.or more
GTNs work as..
vasodilators as an NO donor
Calcium antagonists - dihydropyridines - can be given in angina, give some examples...
Side effects of CCB such as dihydropyridines?
examples of b-blockers used in angina?
K-ATP channel openers used in angina example
Side-effects of rate limiting CCB in angina?
ankle oedema, heart block
CCB should not be used with?
long acting nitrates include?
side effect of long acting nitrates include:
Ivabradine acts on the ______ ______ to slow heart rate
Problem of ivabradine...
reduces exercise tolerance due to HR being unable to go above ~80bpm
T wave inversions are a sign of...
Extra drug used in NSTEMI treatment - not MONA+C
Factor Xa inhibitor
Why are anti-coagulants given in AF?
to stop clots in L.atrium and thus prevent stroke or MI
typical anti-coagulants used in AF?
warfarin, rivaroxiban and apixiban
an aldosterone antagonist
Side effect of spironolactone
Ivabradine works in AF - true or false?
If a patient's renal function is reduced on ACEIs, what is the first step?
stop and rechallenge at a lower dose - then consider other treatment if still intolerant
Mechanical complications of an Acute MI
VSD, MR (mitral regurgitation), Rupture
Angina can be described as...
pressing, squeezing, heaviness, a weight - on exertion, with stress, cold wind, after meals
intercostal pain can be described as...
dull, knifelike, stabbing, no pattern, at rest
DDx of chest pain
angina, MI, GI, musculoskeletal, pericarditis, pleuritic pain, pulmonary embolus, dissection of the aorta
Different methods of determining CHD
Exercise ECG, Perfusion Imaging, CT angiography, angiography