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27 Cards in this Set
- Front
- Back
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Penumbra?
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Area around that infarction that can be saved with reperfusion within 20 min
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What are two methods of MI intervention?
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1. Fibrinolysis with TPA(Rapid)
2. PCI angioplasty(Procedure) |
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Are you more likely to survive an MI on the weekend or the weekday?
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The weekend cause of the way the hospital is staffed
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What is reperfusion injury?
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Injury to the endothelium because of reperfusion and release of ROS
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What are some complications of PCI?(5)
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1. Thrombotic occlusion
2. Embolization 3. Dissection 4. Perforation 5. Restenosis |
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What is the first thing you give someone complaining of chest pains?
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Aspirin
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What should you add to balloon angioplasty to prevent restenosis?
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A stent with lymphocyte eluding drugs
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What supplements should you give a patient with MI?
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Folic acid and B12
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What are the risk factors for restenosis?(4)
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1. DM
2. Vessel size 3. Lesion length 4. Prior PCI |
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What is left main triple vessel Dz?
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Using the coronary artery bypass graft, may have to be repeated in 10 yrs
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What is the problem with a dissected lumen?
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1.It can compress the normal lumen
2. Can be an unexplained occurance in pregnant women |
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There are other ways to get acute coronary occlusion besides plaques?
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1. Chest irradiation
2. Blunt trauma to the chestt 3. Sickle cell |
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What chemical is produced when plastic burns?
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Cyanide
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Where are the coronary arteries located in the heart?
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1. Normally the Subpericardial fat
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What is a bridged LAD?(3)
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1. The LAD located in the myocardium
2. Can compress during systole 3. Causes angina and sudden death in some people |
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What is the most common cause of sudden death pre and post 35 yrs?
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1. Hypertropic cardiomyopathy
2. CAD |
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What happens when the RCA comes from the left cusp?
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1. It will compress between the pulmonary artery and the aorta during systole
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What is Kawasaki's Dz?
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1. Acute febrile, mucocuteneous lymphadenopathy
2. Fever, Conjunctivitis, Strawberry tongue, Lymphadenopathy and erythema |
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When do the coronary arteries fill and when does damage during tachycardia occur?
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1. Diastole
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What does prostacylcin do?
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1. VasoD
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What does endothelin-1 do?
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VasoC
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How does smoking affect CAD?(3)
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1. Induces inflammation
2. Increase phase rxt 3. E, and NE released as well to VasoC |
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What is syndrome X?(3)
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1. Exertional anginal pain
2. Exercised induced ischemia with ST depression 3. Normal subepicardial coronary arteries |
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What is a thalium scintiscan?
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1. Monitors thalium uptake at different sites after exertion
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How is sudden cardiac death defined?
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1. When someone dies within an hour after onset of symptoms
2. Could be due to spasms or emotional stress |
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What is prinzmetal's Angina?(3)
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1. Precordial stress with no activity
2. Elevation of ST segment usuual caused by spasm 3. "Atypical Angina" |
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Why would cocaine cause angina?
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1. Blocks NE reuptake
2. Puts stress on the heart by VasoC |
