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16 Cards in this Set

  • Front
  • Back

This test is used to quantify coronary artery calcification...

Electron Beam CT (EBCT)


(sensitive but not specific for CAD)

This test is used for pericardial disease, neoplastic disease of heart, and dissection (but not normally for coronary artery disease...

Cardiac MRI

This is the definitive diagnostic procedure for CAD ...

Coronary angiography

Name 3 indications for getting a coronary angiography on a patient...

unstable angina or MI


assess vessels after CABG and valve surgery


chest pain of uncertain etiology


survivors of life threatening arrythmias

Narrowing of ____________% of the coronary artery lumen is considered hemodynamically significant.

50


(most ischemia after 70%)

This invasive diagnostic method of choice is for ostial left main lesions and coronary dissections...

Intravascular ultrasound

This is the drug of choice for acute ischemia...

SL nitro

What is the main limitation for patients taking nitro?

tolerance


(recommend 10-12hr drug free)

This medication is the first line therapy for chronic stable angina and post MI

Beta Blockers


(only agent that is proved to prolong life post MI)

While on a statin, the goal LDL in patients is <______.

70mg/ dL

The medication is the newest medication first line for chronic angina...

Ranolazine (ranexa)

Patients with left main coronary artery stenosis of > _______% is an indication for revascularization.

50

These 4 reasons for doing coronary revascularization....

*left main coronary artery stenosis


*3 vessel disease and LV dysfunction


*recurrent unstable angina and ischemia on stress test


*post mi patients with angina

This procedure is is commonly used with disease of the left main coronary artery...

CABG

Early graft patency rates average ________% after a CABG.

85-90

Why would you use BMS rather than DES?

*technical reasons


*12 month dual antiplatelet therapy


*scheduled for surgery (with getting off platelet meds)


*pt high risk of bleeding