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36 Cards in this Set

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What is an Invasive test whereby a thin flexible tube is threaded into a blood vessel until it enters a heart chamber ?

Cardiac catheterization

C.Catheterization

Coronary artherosclerosis may cause a prolonged deficiency of blood flow to the cardiac muscle & ultimately lead to myocardial infarction. — This deficiency of blood flow is referred to as:

Myocardial Ischemia

M. Ischemia

Which of the characteristics findings is NOT associated with an MI?


A) peaked t-wave


B) ST Segment elevation


C) decreased serum troponin


D) pathological q wave

C) decreased serum troponin

Which one has nothing to do with a rhythm wave?

Thrombi most commonly found at the ventricular apex post-MI is referred to as a ?

Mural thrombus

M.Thrombus

The arterial wall consists of the following layers except:


A) adventitia


B) media


C) Elastic Lamina


D) intima

C) Elastic Lamina

E.L

Patients who experience typical symptoms of angina pectoris who have no evidence of atherosclerotic coronary stenoses & have a better prognosis than those with atherosclerosis refers to patients with:


A) silent ischemia


B) stable angina


C) Microvascular Angina


D) elevated CRP

C) microvascular angina

MVA

True or false:


Arrhythmias are a Common complication in the majority of patients w/ CAD & IHD

True

T

Atherosclerotic plaque typically develops first in the ____ & may develop into an _____.

Abdominal aorta; ventricular aneurysm

Abdominal Aor__


Ven_______ aneurysm

Which classification of angina is a form of unstable angina that is associated with coronary artery vasospasms & occurs at rest?


A) stable


B) Prinzmetals


C) nocturnal


D) Decubital

B) Prinzmetals

Prinzm_____

List the 3 stages of plaque development:

• fatty streak


• fibrous plaque


• complicated lesion

Fatty st_____


Fibrous pla___


Compl______ lesion

Visualization of Left ventricular regional wall motion abnormalities that are— induced by exercise or pharmacologic agents to aid in the diagnosis of CAD is known as which type of test?

Stress Echo

S.Echo

A catheter that is inserted into a femoral, brachial or jugular vein measures pressures in the:

Right Atrium, Right Ventricle, Pulmonary Artery

RA,RV & PA

Computed tomography requires administration of a:

Contrast Agent

Con______ agent

“Cold spots” present in myocardial perfusion CT images may indicate all of the following except:


A) myocardial ischemia


B) infarcted areas


C) Normal myocardial perfusion


D) decreased myocardial perfusion

C) normal myocardial perfusion

N M P

Which tests is considered the “gold standard” to assess intracardiac pressures & identify CAD?

Coronary angiography

Cor_______


Angio_______

Which test is most sensitive for the diagnosis of aortic dissection?

Computed tomography

CT

What does TTE stand for?

Transthoracic echocardiogram

What does GEST stand for?

Graduated Exercise Stress Test

What does TEE?

Transesophageal echocardiogram

What does TMT stand for?

Treadmill Test

What type of test utilizes radioisotopes such as Tc-sestamibi & Tc-tetrofosmin ?

Nuclear imaging


(SPECT)

(SPECT)

True or false:


Coronary artery spasms usually occur in non-diseased arteries?

True

T

Which of the following is not a vasodilator?


A) nitric oxide


B) prostacyclin


C) Endothelin 1


D) EDHF

C) endothelin 1

Which of the following is NOT a risk factor for future CV events?


A) elevated LDLs


B) elevated CRPs


C) Elevated HDLs


D) DM

C) Elevated HDLs

⬆️ good fats

Metabolic Syndrome is also known as :

Insulin Resistance syndrome

Insulin


Res___________


Syn___________

List the 3 “i”s the myocardium/heart wall progresses through, in patients with IHD:

Ischemia


Injury


Infarction

Ish_____


Inj___


Infar_____

Regarding the treatment of patients with angina, what are the 2 primary goals?

• To salvage functional myocardium


• to restore normal coronary blood

To salvage functional myo_____


To restore normal c________b______

A left heart cath is frequently performed with a ?

Pigtail Catheter

🐷

The PCWP is equal to the pressure in what chamber?

Left atrium


LA

LA

In the cath lab, peak pressure tracings are acquired directly from the chambers. This is called :

Peak to peak PG

P to P

Name one method Right heart cath used to calculate the cardiac output :

Indicator Dilution

I_________ Dilutions

True or false:


IVUs is performed with a coronary artery that uses a miniature transducer that acquires images of the coronary lumen & walls

True

T

Doppler measures _________ , not ____________.

Velocity not pressure

V not P

Which of the following is NOT associated w/ the other ?


A) distal to the valve


B) V1


C) V2


D) P2

B) V1

The mean pressure gradient is obtained via _______ Doppler & requires _______ of the Doppler waveform.

CW ; Tracing

C__ ; Tracing

What is the pressure gradient if a Doppler waveform has a peak velocity measurement of 4m/s?

64mmhg

Do the math:


Formula- 4v2


4(4)^2 or 4(4) squared


4(16)


16x4=