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Test 1
Coronary syndromes
10
Medical
Graduate
01/27/2011

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Cards

Term
What ACS has no cardiac enzyme release?
Definition
Ischemic heart dz/angina pectoris
Term
What are the major risk factors for ischemic heart dz?
Definition
-dylipidemia
-FH
-Smoking
-Obesity/DM
-HTN
-Men>45/Women>55
Term
What are the erroneous correlations with ischemic heart dz?
Definition
-extent of CAD and severity of anginal sxs
-severity and duration of sxs to prognosis
Term
What is the major determinant of myocardial oxygen demand?
Definition
Heart rate (tachy=more distress)
Term
What is an example of a med that can precipitate ischemia?
Definition
cocaine
Term
What is a feature of chronic stable angina?
Definition
Anginal hx shows no changes in past 2 months (is predictable and has limitations).
Term
Describe the classic presentation of chronic stable angina.
Definition
-substernal, retrosternal pain with radiation to neck or left arm.
-more dull than sharp.
Term
What is a different manifestation of chronic stable angina that women can have?
Definition
anxiety
Term
What drug is contraindicated for the tx of Prinzmetal's? What causes Prinzmetal's?
Definition
beta-blockers; coronary artery spasm
Term
What are Px exam findings with chronic stable angina?
Definition
Normal
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