Shared Flashcard Set

Details

Cardio-ICM
Myocardial Ishemia
10
Medical
Graduate
10/13/2010

Additional Medical Flashcards

 


 

Cards

Term
Risk Factors for Coronary Artery Disease
Definition

Non-Mod: AGE, Sex, Family History

Mods: HPTN, DM, Metabolic Syndrome, Hyperlipidemia, Smoking, Heavy Alcohol, Sedentary, Obesity

Term
Pathophysiology of Myocardial Ischemia
Definition
Atherosceloris narrows coronaries-> decreased vasodialation capacity (Stable Angina)-> Plaque rupture, Thrombosis (Unstable)-> Vasospasm, platelet aggregation-> vessel occlusion(Myocardial Ischemia)
Term
What percentage occlusion will lead to Stable and Unstable angina
Definition

Stable(Exercise/emotion Stimulus): 70%

Unstable(Rest): 90%

Term
How do most patients describe the pain of Angina
Definition

Pressure, Tightness, Burning, Squeezing

Not Typical Pain

Term
Physical exam signs that often correlate with Angina
Definition

Atherosclerosis Evidence: Bruits/PVD/AAA

Hypertension/LVH

S3/S4/Murmurs

Rales

Term
How long does stable angina typically last
Definition
5-10 minutes
Term
How do you Treat Stable Angina
Definition

Decrease CAD Risk Factors

Aspirin/Clopidogrel

Nitrates/Beta-Block/Ca-Ch Block

If Recommended Angio

Term
How do you Treat Unstable Angina
Definition

Aspirin/Heparin/GPIIb/IIIa Inhibitors

B-blockers/Nitrates/Ca-Ch Blockers

Statins

Intervention

Term
How do you diagnose and treat Pinzmetal's Angina
Definition

Diagnose: Ach Provocation

Treatment: Nitrates and Ca-Ch Blockers

Term
How does the EKG look in Prinzmetal's Angina
Definition

ST Elevation

Maybe AV block/Arrhythmia

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