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6 Cards in this Set
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- Back
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what are the symptoms that make up ACS?
what's that other random thing that can cause chest pain? gerd triggers? |
stemi, nstemi, and unstable angina.
chest pain can come from PANIC ATTACK are more common than MI's. gerd triggers; caffeine, alcohol, and fatty foods. |
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what are the most common causes of chest pain?
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#1: musculo-skeletal
#2: GI #3: angina, panic, pulmonary, cardiac, ischemia. in the non acute setting, need to differentiate between CAD, gerd, panic, and musculoskeletal. |
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how is musculoskeletal pain different from ACS pain? what about GERD makes it hard to tell what's up?
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musculoskeletal is often sharp, when ACS is almost never sharp. usually it's dull, squeezing, etc.
GERD can be relieved by nitro (it's a SM relaxer: the bad symptoms of GERD cause esophogeal SM constrictipn. |
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how do you treat people out patient with CAD?
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oral beta blockers, smoking cessation, statins, nitrates if they have angina for symptomatic relief.
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role of NSAIDS in CAD/ACS?
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in ACS, give everybody 300+ miligrams of aspirin.
in chronic coronary artery disease, COX-2 selectivity = BAD. No fancy NSAIDS including diclofenac and nabmetone. Aspirin/tylenol OK. |
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what are the major Ca++ channel blockers, and what do you NOT combine them with?
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Dihydropyridines = verapamil/diltiazem, cardio specific, good for angina (slowing heart rate, only modest peripheral vasodilation).
Non-dihydropyridines = amlodipine and nifedipine = peripheral vasodilators (can cause tachycardia). NOTE: do not combine the non-dihydropyridines with beta blockers (verapamil/diltiazem = BVD), and don't combine NITRATES with VERAPAMIL/DILTIAZEM = hypotension. |
