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12 Cards in this Set
- Front
- Back
what are the different ways to diagnosis MI
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history and clinical presentation, laboratory blood analysis, - leukocytes, erythrocytes, serum enzymes
ECG Angiography Cardiac Imaging |
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what are the biochemical markers of MI
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plasma concentration of CK, LDH, SGOT
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ECG in transmural (all layers of the heart) MI - acute, evolving/resolving, chronic
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ST segment elevation
q wave development, st changes revert to baseline, inversion of t waves fully developed Q wave, inverted or resolved T wave |
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ECG in subendocardial (surface of heart) MI
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st segment depression
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irregularities of ECG for:
atrial flutter atrial fibrillation primary AV block Bundle branch block |
increase P waves
absence of P wave, irregular QRS prolonged PR interval 2 peaks in QRS |
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describe left heart failure (congestive)
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block backs up into pulmonary vein and lung tissue and causes pulmonary edema
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describe right heart failure
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development of peripheral edema due to congestion of blood backward into systemic circulation - "cor pulmonae"
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describe coronary artery bypass surgery
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bypass coronary block by using grafts commonly taken from saphenous vein, internal mammary artery, thoracic or radial arteries
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when to use CABS?
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relieve anginal symptoms, PTCA unsuccessful, EF <38%, multivessel involvement, technically difficult vessel lesions
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what is percutaneous coronary angioplasty?
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insertion of catheter to site of coronary lesion
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what are the various techniques of PTCA
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balloon angioplasty, stents, atherectomy, laser angioplasty
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when to use PTCA
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1-2 vessel involvement, EF around 55%
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