The Practice of Treating Cardiovascular Patients Flashcards Preview

MD3001 > The Practice of Treating Cardiovascular Patients > Flashcards

Flashcards in The Practice of Treating Cardiovascular Patients Deck (34)
1

Which of hypertension, heart failure and angina would an ACE inhibitor (A) be used to treat?

All three

2

Which of hypertension, heart failure and angina would beta blockers (B) be used to treat?

All three

3

Which of hypertension, heart failure and angina would calcium antagonists (C) be used to treat?

Hypertension and angina
NOT heart failure

4

Which of hypertension, heart failure and angina would a diuretic (D) be used to treat?

Hypertension and heart failure
NOT angina

5

What would the order of drugs used in a hypertensive patient under 55 years of age be?

A
C
D
Either B, alpha blocker or spironolactone

6

What would the order of drugs used in a hypertensive patient under 55 years of age be?

C
A
D
Either B, alpha blocker or spironolactone

7

What is the order of drug usage in step 1 of cardiac failure treatment?

DAB

8

What is the order of drug usage in step 2 of cardiac failure treatment?

Spironolactone/ Eplerenone

9

What is the order of drug usage in step 3 of cardiac failure treatment?

Cardiac Resynchronisation Therapy
((= Biventricular Pacing)
to those with long QRS on ECG)

10

What can be used in sever cases?

Implantable Cardiac Defibrillator (ICD)

11

In what CVD is sacubitril-valsartan used in the treatment of?

Chronic heart failure

12

What two categories can angina treatment be broken down into?

Prolong survival
Alleviate symptoms

13

What 4 key treatments are used to prolong survival in angina patients?

SAAB:
Statin
Aspirin
ACE inhibitor
Beta Blocker

14

How would you progressively alleviate symptoms of angina?

Beta Blocker
Calcium Antagonist or Nitrates Coronary Angioplasty
New antianginals: Ivabradine and Ranolazine
Coronary artery surgery

15

What is the treatment for STEMI in an emergency situation?

Aspirin
Angioplasty (if near hospital)
Thrombolysis ( if far away)

16

What should be administered after this?

Aspirin and Clopidogrel or Ticagrelor
Low MW Heparin or Fondaparinux

17

And further to that...? (STEMI treatment)

SAAB

18

What is fondaprinux?

Synthetic pentasaccharide that inhibits activated factor x

19

List treatments for NSTEMI.

Aspirin and Clopidogrel OR Ticagrelor Fondaparinux
Angioplasty (not as emergency)
SAAB

20

What is treatment for troponin negative ACS?

SAAB with selective use of angioplasty

21

If chest pain is ongoing after treatment, what should be administered?

Glycoprotein IIb/IIIa Inhibitor
e.g Tirofiban

22

What type of drugs are ticagrelor and prasugrel?

Antiplatelets

23

What are the 3 crucial goals you must try to achieve in treating AF?

Prevent emboli
Control rate (crucial)
Control rhythm (seldom done, since fairly ineffective)

24

How are emboli prevented in AF?

Warfarin/Rivaroxaban

25

How is the rate controlled?

Beta blockers
Digoxin

26

How can rhythm control be achieved?

DC Cardioversion
Amiodarone if heart failure
Sotalol (II/III) possible
Flecainide (Ic) only if heart structure/function normal

27

List 3 causes of stroke.

Cerebral Thrombosis
Cerebral Embolus
Cerebral Haemorrhage

28

If there is no cerebral haemorrhage shown on the CT scan, what drugs are administered to a stroke patient?

Aspirin for 2 weeks
Thereafter, clopidogrel

29

List 3 additional drugs used in stroke treatment.

Statin
ACE inhibitor
Indapamide

30

What are the common side effects of ACE inhibitors?

Cough
Renal dysfunction (worsen or improve) ANGIONEURMTIC OEDEMA (life-threatening)
Never in pregnancy

31

What are the common side effects of beta blockers?

Bradycardia /Heart Block
Tired
Asthma (Not in asthmatics)

32

What are the common side effects of calcium antagonists?

Ankle oedema for Amlodipine
Heart Block for Diltiazem & Verapamil

33

What are the common side effects of diuretics?

Hypokalaemia
Diabetes
Gout

34

What are the common side effects of angiotensin blockers?

Renal dysfunction (worsen or improve) Never in pregnancy

Decks in MD3001 Class (63):