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16 Cards in this Set
- Front
- Back
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What is stable angina?
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Pain only with exertion
Relieved by nitro Lasts only 2-10 min |
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How long does unstable angina last? MI?
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Unstable angina <20 m
MI >30 m |
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What meds should anyone with angina be on?
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-Bblocker
-Baby aspirin |
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What is used to treat episodes of acute angina?
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Sublingual nitroglycerine
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What is a good combo of drugs for angina?
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Bblocker + nitrates
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What is a bad combo for angina?
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Bblockers + Nondihydropyridines -> leads to bradycardia
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What 2 more aggressive mechanical revascularization options are available to patients with angina refractory to medical therapy?
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PTCA/stents
CABG |
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What is the patency of IMA vs saphenous vein graft at 10 yrs?
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IMA 90%
Saphenous 50% |
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What are 5 complications of MI?
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-Acute VSD
-Mitral valve insufficiency -LV aneurysm -Cardiogenic shock -Ventricular Freewall Rupture |
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What is the most common?
Which causes the most inhouse DEATH post MI? |
MV insufficiency
Cardiogenic shock |
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What is post-MI cardiogenic shock defined as?
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40% decrease in LV functioning mass and SBP <80 mm Hg
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What is IABP?
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Intra Aortic Balloon Pump
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How does IABP work?
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-Diastole inflation increases DBP and makes it easier to fill the ventricles
-Systolic deflation creates neg pressr to lower afterload |
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What is IABP especially useful in treating?
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Cardiogenic shock post MI
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What are two CONTRAINDICATIONS to IABP?
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-Aortic regurg
-Aortic dissection |
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What is the normal aortic cross sectional area? At what size should it be replaced if stenotic?
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2.5-3.5 cm
<0.7cm |
