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14 Cards in this Set
- Front
- Back
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What is goal of tx in silent ischemia?
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reduce total number of ischemic episodes, symptomatic and asymptomatic
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Why does ischemia, MI, and sedden occur more in the morning?
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platelet aggregability is increased in the morning
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What is silent ischemia a result from?
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primary reduction in oxygen supply
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What is class I silent ischemia?
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pt who don't experience angina at any time
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What is class II silent ischemia?
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pts who have asymptomatic and symptomatic ischemia
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What is silent ischemia associated with?
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reduced survival and increased need for PTCA and CABG and increased risk of acute MI
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What is initial tx for silent ischemia?
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modify major risk factors for ischemic heart disease: HTN, hypercholesterolemia, and smoking
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What silent ischemia pt are the best candidates for BB?
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post MI and those with high level of sympathetic nervous system activity
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Are BB or CCB more effective in silent ischemia?
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BB, they both work
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Does medical or PCI therapy reduce silent ischemia more?
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PCI
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How long for symptoms to improve from ischemic heart disease?
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2-4 weeks, remain stable until disease progresses
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What is goal BP?
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130 or less/85 or less with CAD coexisting condition (DM, HF, renal failure)
less than 140/90 with CAD and no coexisting condition |
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When is BB recommended?
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all pts with prior MI in the absence of CI
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When is ACEI recommended?
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all pts with CAD who have DM and/or LV systolic dysfuntion
CAD or other vascular disease |
