Term
|
Definition
|
|
Term
|
Definition
and combo of: HLD, HTN, CAD, glucose intolerance, DM, hyperuricemia
result of insulin resistance and obesity |
|
|
Term
|
Definition
diff than metabolic syndrome x.
syndrome x is exertinal angina with normal coronary arteriogram, stress tests shows ischemia tho there are no coronary stenosises |
|
|
Term
| what is considered a + stress ECG |
|
Definition
ST depression.
chest pain
hypotension
significant arryhtmia
(any of the above) |
|
|
Term
| what do you do if a pt has a + stress ECG |
|
Definition
|
|
Term
| what % of coronary stenosis --> sx |
|
Definition
|
|
Term
| if a pt cant exercise what drugs can you use to induce a stress test |
|
Definition
dobutamine
dipyramidole
adenosine |
|
|
Term
| medical therapy in CAD in general |
|
Definition
ASA (reduces risk of MI)
BB (reduces frequency of coronary events)
nitrates (sx relief)
CCB (add on if still have sx after bb and nitrates) |
|
|
Term
|
Definition
1. CABG
2. percut transluminal coronary angioplasty (PTCA) |
|
|
Term
|
Definition
| do PTCA if only 1-2 vessel disease |
|
|
Term
| major risks specific to ptca |
|
Definition
|
|
Term
| pathophys of stable vs unstable angina |
|
Definition
in unstable o2 demand is unchanged, there is just reduced resting coronary flow
in stable, there is issues when there is increased o2 demand |
|
|
Term
| medical tx in unstable angina |
|
Definition
1. ASA
2. BB
3. Nitrates
4. LMWH or unfractionated heparin (enoxaparin)
5. gp11b/IIIa inhib (abciximab, tirofiban) |
|
|
Term
| variant prinzmetal angina features |
|
Definition
1. vasospasm
2. with or without atherosclerotic leasion
3. angina at rest with ventricular dysryhthmias
4. ST elevation on ECG |
|
|
Term
| what does ST depression represent in variant angina? |
|
Definition
| transmural ischemia (subendothelial ischemia) |
|
|
Term
| medical tx of variant angina |
|
Definition
| CCB and nitrates more helpful in these pts |
|
|
Term
|
Definition
peaked t waves
very early on
often missed |
|
|
Term
| indication for tpa in pt with MI |
|
Definition
|
|
Term
|
Definition
uncontrolled htn (>180/110) can use after htn is controlled
active gi ulcers
previous stroke
recent surgery or invasive procedure
dissecting aortic aneyrsm
recent head trauma or traumatic cpr |
|
|
Term
| what are the only agents shown to reduce mortality in MI |
|
Definition
|
|
Term
| anterior MI changes in ekg |
|
Definition
1. ST elevation or Q in V1-V4
(Q wave is a later change) |
|
|
Term
| posterior MI changes in ekg |
|
Definition
1. large R in V1 and V2
2. ST depression in V1 and V2
3. big upright T in V1 and V2 |
|
|
Term
| lateral MI changes in ekg |
|
Definition
|
|
Term
| inferior MI changes in ekg |
|
Definition
|
|
