ischemic heart disease Flashcards
(42 cards)
1
Q
Ischemic heart disease definition
A
2
Q
Risk factors for developing CAD
A
3
Q
Preoperative assessment
A
4
Q
Preoperative orders
A
5
Q
Angina pectoris
A
6
Q
Diagnosis angina
A
7
Q
Chest pain differential
A
8
Q
Stable vs Unstable Angina
A
9
Q
Acute coronary syndrome (MI)
A
10
Q
Morbidity/Mortality Risks- longer wait after MI the better (for remodeling)
A
11
Q
•12 lead EKG
A
12
Q
•Exercise angina
A
13
Q
•Nuclear stress imaging
A
14
Q
•Echocardiography
A
15
Q
•Coronary angiography- that we have and where plus distal targets
A
16
Q
Vulnerable plaque
A
17
Q
Treatment of CAD
A
18
Q
Treatment of CAD
A
19
Q
Lowering LDL: “Statins”
A
20
Q
Statin concerns…
A
21
Q
New way to lower LDL- injection
A
22
Q
Lowering Hypertension:
A
23
Q
Classes of Platelets
A
24
Q
Aspirin
A
25
Thienopyridines
26
Platelet glycoprotein receptor inhibitors
27
Nitrates
28
Do nitrates dilate atherosclerotic coronary arteries?
A little bit depending on level of atherosclerosis and size of coronary artery
29
How do nitrates decrease left ventricular afterload?
Closed loop: decreased CO would decrease afterload
30
Beta-blockers
31
Beta blockers and mortality after MI-
older 30-50% reduction; younger is like 20%
32
How do beta-blockers increase coronary artery perfusion?
Increases perfusion time because the ostea of the coronary arteries are occluded during systole and coronary vessels collapse during systole
33
Calcium Channel Blockers
34
ACEI/ARB
35
ACE inhibitors
36
Indications of PCI
37
Mechanics of stent placement
38
DAPT: dual anti-platelet therapy (aspiring and something else)
39
BMS/DES algorithm
40
Progress…..
41
Anesthesia considerations
42
When to stick, catheter/puncture???
