Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
14 Cards in this Set
- Front
- Back
- 3rd side (hint)
What is myocardial ischaemia?
|
A decrease in blood flow to myocardium due to blockage of coronary artery
|
|
|
What is angina
|
Chest pain result of ischaemia
|
|
|
What causes ischaemia?
|
Atherosclerosis and vasospasm
|
|
|
How is ischaemia/angina treated?
|
Increase oxygen supply or decrease demand
|
Decreasing demand is more effective especially with atheroclerosis as person is unable to ob
|
|
What is an important regulator of coronary blood flow?
|
Adenosine (from ATP) --> vasodilator
|
|
|
Oxygen demand is reduced using..
|
nitrtates, B blockers, calcium blockers
|
|
|
Describe how nitrates help ischemia
|
Venodilators thus reduce venous blood return to heart thus decrease demand of myocardium
|
|
|
Nitrates are converted to what?
|
NO - activates cGMP synthesis decrease Ca entry--> muscle relaxes
|
|
|
Describe how B blockers help angina
|
Preventitive - decreases HR, which leads to increase blood flow to left ventricular tissue
|
|
|
Diastole
|
relax
|
|
|
Systole?
|
contract
|
|
|
How do calcium channel blockers help angina?
|
Preventitive - causes vasodilation
|
|
|
What do If channel blockers do?
|
Reduce HR thus reduce oxygen demand and increase oxygen supple
|
|
|
When are coronary arteries open?
|
During diastole
|
|