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13 Cards in this Set
- Front
- Back
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Symptoms of angina |
All 3 symptoms: typical angina 2 features: atypical angina |
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Causes of angina |
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What chemicals cause anginal pain
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Bradykinin and adenosine and more |
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What is diaphoresis |
Sweating |
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Unstable angina cause usually due to |
Atherosclerotic rupture and thombosis |
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What happens in vasospastic angina (Prinzemetal's angina) |
Ishaemia occurs due to vasospasms of the coronary artery. They may or may not have atherosclerosis |
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What type of ischaemia is vasospastic angina |
Transmural ischaemia |
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What are some of the signs of angina |
ST segment deppression in stable and unstable angina ST segment elevation in vasospastic angina because it is severe ischaemia (transmural) |
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What can all anginas be treated with |
Nitroglycerine |
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Which blocker can you give to vasospastic angina |
Calcium channel blockers |
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How do you treat stable angina |
Reduce risk of a MI Statin and low dose aspirin Treating the angina Beta-blockers or Calcium channel blockers and Glyceryl Trinitrate (GTN) spray for attacks If not improved on 1 Use both a beta blocker and dihydropyridine CCB like amlodipine and nifedipine (or felodipine) If indicated Ranolazine A long acting nitrate Ivabradine Nicorandil |
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How do you use a GTN spray |
Sit down, no need to shake it, prime it if first use (Spray in the air), then spray under your tongue, wait for 5 minutes, do it again if it doesn't work try 1 more time? but dont wait and go to the hospital
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Identify appropriate skills to elicit an accurate history of chest pain. |
Meena's notes |
