Coronary Heart Disease Flashcards Preview

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Flashcards in Coronary Heart Disease Deck (8)
1

Which artery is most often occluded in acute MI?

LAD artery

2

Name some characteristics of angina that aid diagnosis

Pain on exertion, relieved by rest
Visceral pain
Specific timing/trigger factor

3

Pain assoc. with pericarditis worsens upon sitting forward. True/False?

False
Eases upon sitting forward

4

Name coronary revascularisation procedures

Coronary arterial bypass grafting (CABG)
Coronary angioplasty (PCI)

5

What steps are involved in CABG?

Median sternotomy
Take saphenous vein + internal mammary artery and attach to aorta DISTAL to site of blockage

6

What steps are involved in PCI?

Put patient on anticoagulant + antiplatelets
Catheter to ostium of coronary artery and then feed wire down vessel
Balloon on wire inflated to allow stent to attach to vessel
Ballon, catheter and wire removed, leaving stent in place to open artery

7

Which coronary revascularisation - CABG or PCI - has been proven to be better? Why?

CABG is more safe and has fewer adverse effects

8

Which arteries are commonly used for PCI?

Femoral
Radial