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Flashcards in Ischaemic Heart Disease and MI Deck (50)
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1

Co-morbidities associated with angina?

diabetes, PVD, MI, COPD

2

Primary prevention for MI is...

when there is no history of an MI - trying to prevent happening in first place

3

Secondary prevention for MI is...

when preventing further MIs after a history of having one.or more

4

GTN side-effects?

hypotension, headache

5

GTNs work as..

vasodilators as an NO donor

6

Calcium antagonists - dihydropyridines - can be given in angina, give some examples...

nifedipine, amlodipine

7

Side effects of CCB such as dihydropyridines?

ankle oedema

8

examples of b-blockers used in angina?

atenolol, bisoprolol

9

K-ATP channel openers used in angina example

nicorandil

10

Side-effects of rate limiting CCB in angina?

ankle oedema, heart block

11

CCB should not be used with?

b-blockers

12

long acting nitrates include?

isosorbide mononitrate

13

side effect of long acting nitrates include:

nitrate tolerance

14

Ivabradine acts on the ______ ______ to slow heart rate

funny current

15

Problem of ivabradine...

reduces exercise tolerance due to HR being unable to go above ~80bpm

16

T wave inversions are a sign of...

ischaemia

17

Extra drug used in NSTEMI treatment - not MONA+C

fondaparinux

18

Fondaparinux is...

Factor Xa inhibitor

19

Why are anti-coagulants given in AF?

to stop clots in L.atrium and thus prevent stroke or MI

20

typical anti-coagulants used in AF?

warfarin, rivaroxiban and apixiban

21

Spironolactone is...

an aldosterone antagonist

22

Side effect of spironolactone

hyperkalaemia

23

Ivabradine works in AF - true or false?

false

24

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

25

Mechanical complications of an Acute MI

VSD, MR (mitral regurgitation), Rupture

26

Angina can be described as...

pressing, squeezing, heaviness, a weight - on exertion, with stress, cold wind, after meals

27

intercostal pain can be described as...

dull, knifelike, stabbing, no pattern, at rest

28

DDx of chest pain

angina, MI, GI, musculoskeletal, pericarditis, pleuritic pain, pulmonary embolus, dissection of the aorta

29

Different methods of determining CHD

Exercise ECG, Perfusion Imaging, CT angiography, angiography

30

Pro of exercise ECG

cheap, reproducible, risk stratification