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31 Cards in this Set

  • Front
  • Back
What is the leading cause of death in the United States?
Myocardial infarction
What is the third leading cause of death in the United States?
Stroke
How do strokes occur? x2
1. When brain cells are deprived of oxygen
2. Damaged by sudden bleeding into the brain
What are the 4 major types of strokes?
1. Ischemic
2. Thrombotic
3. Embolic
4. Hemorrhagic
What are transient ischemic attacks (TIA) known as?
How long do they last?
- Mini-strokes
- A few minutes
Myocardial infarction produces symptoms that are similar to what?
Angina
Chronic inflamination of arteries that supply blood to the heart and brain can lead to what? x2
Why?
1. Stroke
2. Myocardial infarction

Vascular inflammation is a cause of atherosclerosis
What is atherosclerosis?
A buildup of lipids and plaque inside of artery walls
What is atherothrombosis?
The formation of a blood clot in the arteries
What are nonmodifiable factors of stroke and myocardial infarction? x3
1. Age
2. Gender
3. Family history of stroke and myocardial infarction
What are modifiable factors of stroke and myocardial infarction? x3
1. Smoking
2. Heavy alcohol consumption
3. A diet high in cholesterol
What are the diseases that can increase the risk for stroke and myocardial infarction? x5
1. Diabetes
2. Hypertension
3. Hyperlipidemia
4. Artirial fibrillation
5. Infection
What is the main purpose of drug therapy for myocardial infarction and stroke? x3
1. Prevention
2. Control the buildup of lipids and plaque
3. Reduce the formation of blood clots
What is hemostasis?
The process of stopping the flow of blood
What kinds of antithrombotic drugs are there? x3
1. Agents that inhibit platelets
2. Anticoagulants
3. Fibrinolytic agents
What do antiplatelet drugs do?
Interfere with early steps in the clot formation process
What are the parenteral antiplatelet drugs? x3
1. abciximab
2. eptifibatide
3. tirofiban
What are the oral antiplatelet drugs? x3
1. ticlopidine
2. clopidogrel
3. dipyridamole
What are the anticoagulant drugs? x2
1. heparin
2. LMWH (Low-molecular-weight heparin)
Are LMWHs substitutable?
No
What does warfarin interfere with?
The formation of vitamin K-dependent clotting factors
What warning label should be place on warfarin?
"AVOID PREGNANCY"
What do thrombolytics (also called fibrinolytics) do?
Dissolve blood clots
What is the principal focus for prevention of cardiovascular disease and stroke?
Treatment of hyperlipidemia
What is LDL known as?
Bad cholesterol
What is HDL known as?
Good cholesterol
What are "statins?"
HMG CoA reductase inhibitors
What do statins do? x2
1. Block the final step of cholesteral synthesis
2. Promote LDL elimination
What do fibrates do?
Increase clearance of VLDL
What do bile acid sequestrants do?
Promote intestinal clearance of cholesterol
What is Niacin?
Vitamin B3