Term
| Risk Factors for Coronary Artery Disease |
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Definition
Non-Mod: AGE, Sex, Family History
Mods: HPTN, DM, Metabolic Syndrome, Hyperlipidemia, Smoking, Heavy Alcohol, Sedentary, Obesity |
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Term
| Pathophysiology of Myocardial Ischemia |
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Definition
| Atherosceloris narrows coronaries-> decreased vasodialation capacity (Stable Angina)-> Plaque rupture, Thrombosis (Unstable)-> Vasospasm, platelet aggregation-> vessel occlusion(Myocardial Ischemia) |
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Term
| What percentage occlusion will lead to Stable and Unstable angina |
|
Definition
Stable(Exercise/emotion Stimulus): 70%
Unstable(Rest): 90% |
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Term
| How do most patients describe the pain of Angina |
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Definition
Pressure, Tightness, Burning, Squeezing
Not Typical Pain |
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Term
| Physical exam signs that often correlate with Angina |
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Definition
Atherosclerosis Evidence: Bruits/PVD/AAA
Hypertension/LVH
S3/S4/Murmurs
Rales |
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Term
| How long does stable angina typically last |
|
Definition
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Term
| How do you Treat Stable Angina |
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Definition
Decrease CAD Risk Factors
Aspirin/Clopidogrel
Nitrates/Beta-Block/Ca-Ch Block
If Recommended Angio |
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Term
| How do you Treat Unstable Angina |
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Definition
Aspirin/Heparin/GPIIb/IIIa Inhibitors
B-blockers/Nitrates/Ca-Ch Blockers
Statins
Intervention |
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Term
| How do you diagnose and treat Pinzmetal's Angina |
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Definition
Diagnose: Ach Provocation
Treatment: Nitrates and Ca-Ch Blockers |
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Term
| How does the EKG look in Prinzmetal's Angina |
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Definition
ST Elevation
Maybe AV block/Arrhythmia |
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