Term
|
Definition
| Restriction of Blood flow causing damage/dysfunction in tissue |
|
|
Term
|
Definition
| chest pain due to ischemia |
|
|
Term
|
Definition
| tissue necrosis due to lack of O2 |
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|
Term
|
Definition
|
|
Term
|
Definition
ST DEPRESSION
T WAVE INVERSION ON EKG
Thrombus incompletely occludes vessel |
|
|
Term
|
Definition
ST elevation or New left bundle branch block on ECG
Thrombus completely occludes vessel.Abrupt stop in blood flow |
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|
Term
| Gold standard in diagnosing IHD |
|
Definition
STRESS TEST
-Treadmill
-or Pharmacological |
|
|
Term
| Percutaneous Coronary Intervention (PCI) |
|
Definition
-For pt w/ uncomplicated CAD
-Catheter inserted via femoral,brachial, or radial arteries
Guided to blockage and opens it |
|
|
Term
| CABG - Coronary Artery Bypass Graft |
|
Definition
Open heart surgery
-for pt w/ complex&diffuse CAD
-vessels taken from other parts of body and used to bypass affected sections of coronary artery |
|
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Term
|
Definition
-IF STATINS CANNOT BE USED CONSIDER BILE ACID SEQUESTRANT
- |
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|
Term
|
Definition
| RECOMMENDED FORR ALL PTs (IN ABSENCE OF CONTRAINDICATIONS) |
|
|
Term
| ASPIRIN+CLOPIDOGREL BENEFICIAL IN |
|
Definition
| mi, ISCHEMIC STROKE,OR SYMPTOMATIC PAD |
|
|
Term
| CLOPIDEGREL REASONABLE IF |
|
Definition
| ASPIRIN CONTRAINDICATED OR NOT TOLERATED |
|
|
Term
| ACE INHIBITORS CONSIDERED IN |
|
Definition
HX OF
HTN, KIDNEY DISEASE,MI,LV DYSFUNCTION |
|
|
Term
|
Definition
| REDUCE THE RISK OF VASCULAR EVENTS IN OTs W/ IHD OR IHD RISK FACTORS |
|
|
Term
|
Definition
|
|
Term
| BETA BLOCKERS CONSIDERED FOR ALL Pts |
|
Definition
|
|
Term
|
Definition
REDUCE O2 DEMAND BY REDUCING HR,MYOCARDIAL CONTRACTILITY, AND AFTER LOAD
(dose titrated to rest HR of 55-60bpm) |
|
|
Term
| FIRST LINE TX TO PREVENT ANGINAL Sxs |
|
Definition
(more effective w/ nitrate)
no specific recommendation |
|
|
Term
| Calcium Channel blockers are for pt unable to |
|
Definition
|
|
Term
| Short Acting Nitrate dose |
|
Definition
|
|
Term
| Short Acting Nitrate Onset and duration |
|
Definition
| 5-10 mins & duration 30 to 60 mins |
|
|
Term
| Short Acting Nitrate max dose |
|
Definition
| repeat in 5 mins if sx doeas not clear. max dose 0f 1.2mg in 15 minutes |
|
|
Term
| Long acting nitrates contraindicated in |
|
Definition
-hypertrophic obstructive cardiomyopathy
-severe aortic valve stenosis
-w/ PDE-5 Inhibitors |
|
|
Term
|
Definition
Inhibits late inward NA+ current
-reduces O2 demand by decreasing LV wall tension |
|
|
Term
| Ranolazine is ______line of therapyif _______ |
|
Definition
| Ranolazine is 2nd Line if Beta Blocker cant be used |
|
|
Term
| Ranolazine can be combined with |
|
Definition
| BBs, NITRATES, or DHP CCBs |
|
|
Term
| This combo causes QT prolongation |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
| CONSTIPATION, Nausea, dizziness,HA |
|
|
Term
| Pt should receive _________to reduce mortality and morbidity in pt w/ underlying CV conditions |
|
Definition
|
|
Term
|
Definition
-chronic Tx
Which ccbis based on pt conditions |
|
|
Term
|
Definition
-Clopidogrel Standard dose
rapid
and ultrrapid metabolizer |
|
|
Term
|
Definition
-Clopidogrel at a standard dose
normal metabolizer |
|
|
Term
|
Definition
Im and PM
Alternative like Prasugrel(EFFIENT) ot Ticagrelor(BRILLINTA) |
|
|
Term
|
Definition
| Normal Function (55-88% prevalence) |
|
|
Term
|
Definition
Intermediate Function (11-36% Prevalence)
-prescribe low dose or other statin
DEC statin clearence inc statin concentration (strongly recommended) |
|
|
Term
|
Definition
LOW FUNCTION (0-6% Prevalence)
-prescribe low dose or other statin
DEC statin clearence inc statin concentration
-check CK (strongly recommended) |
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|
