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9 Cards in this Set
- Front
- Back
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what three factors affect the intrinsic regulatory system?
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endothelial factors: NO and prostacyclin (vasodilators), Endothelin 1 (vasocontrictor
Metabolic factors: Adenosine, lactate, acetate, etc (vasodilators) Neural factors: mediated by SNS alpha receptors (constriction) beta 2 receptors dilators |
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how can you tell hibernation from myocardial scar?
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thallium 201 viability study- bright means still viable
dobutamine echo positron emission tomography |
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What sort of symptoms can mimic angina?
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pericarditits
GERD Peptic ulcer esophageal spasm chest wall pain costochondritis cervical radiculitis |
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Printzmetal's angina
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vasospasm, pain at rest, relieved by nitroglycerin, wake up at 2 or 3 in the am, transient ECG change
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Syndrome X
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normal arteriogram
chest pain young women vasospasm? pain perception? inadequate vasodilator reserve? |
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what is the recommended medical therapy to prevent recurrent ischemia?
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nitrates
beta blockers CCBs Ranolazine |
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what medical therapy is designed to prevent acute cardiac events?
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Anti platelet: ASA, clopridigel (P2Y12)
Lipid mod: Statins BEST CHEMO vs CAD ACE inhibitors |
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Indications for PCI
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isolated stenosis 1-2 coronary a.
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indications for CABG
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LMCA disease
2-3 vessel disease in presence of LV disfunction multivessel disease in diabetics |
