Ischaemic heart disease: coronary heart disease Flashcards Preview

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Flashcards in Ischaemic heart disease: coronary heart disease Deck (6)
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1
Q

What is ventricular fibrillation caused by?

A
  • chronically occluded coronary artery causing a scar and an electrical reantrant circuit to be set up
  • unstable plaque leading to ischaemia it woud have to happen in an electrically important area of the heart
  • ischaemic cardiomyopathy will allow many re-entrant circuits
2
Q

What is the presentation of MI?

A

o severe, associated autonomic upset (sweating, fear, breathlessness), angor animi (sense of impending doom)
o ongoing pain despite >10mg morphine

3
Q

What is the presentation of PE?

A

o breathlessness, dull, maybe pleuritic

4
Q

What is the presentation of aortic dissection?

A

o tearing, excruciating, severe then eases

5
Q

What can relieve symptoms in MI?

A

Revascularisation

o CABG, PCI

6
Q

What are the drugs used in IHD?

A
Aspirin
-Antiplatelet
ß blockers
-Slow heart rate, reduce O2 demand
Statin
-Reduces cholesterol
ACE inhibitor
-Reduces blood pressure