Angina Presentation
This cardiac marker can be used to detect a re-infraction post MI?
What is CK-MB (Creatine Kinase)?
Also Elevated:
*Troponin I: peaks at 24 hrs, remains elevated for 7-10 days (due to troponin bound to tropomyosin)
*BNP and CRP (inflammation)
*Lipoprotein a (risk factor for MI)
These drugs should be avoided in RV infarction.
What are nitrates, morphine, and diuretics?
This drug blocks conversion of the inactive Angiotensin I to Angiotensin II by ACE in the lungs.
What are ACEIs?
This non-selective B-blocker is used to decrease O2 demand and prevent stable angina.
What is propanolol?
The mechanisms of pain relief from nitroglycerin.
What is dilation of capacitance vessels?
These EKG changes can be seen in the standard precordial leads (not right-sided), and indicate a RV MI.
What are ST elevation in V1 and ST depression in V2
To treat this condition use nitrates or vascular CCBs but NOT B-Blockers.
What is prinzmental angina?
This loop diuretic can be used to treat acute decompensated HF if the patient has a sulfa allergy.
This drug is a B1, B2, and A1 blocker.
What is carvedilol?
*First line medication for HFrEF
Described by the acronym "MONA" these medications are used to treat STEMI discomfort.
Morphine, Oxygen, Nitro, and Aspirin
ST depression, T wave inversion and positive cardiac markers are indicative of this ACS?
What is NSTEMI?
Treatment of this disorder involves PCI within 2 hours or fibrinolytic therapy within 30 minutes.
What is STEMI?
The treatment for acute decompensated HF with pulmonary edema.
What are nitrates + ACEI?
A drug which blocks the Na-K ATPase, causing an increase in intracellular sodium and potassium. This increases contractility and stimulates the baroreceptor response to increase parasympathetics.
What is Digoxin?
Use of this medication is a contraindication to the administration of nitro.
What is Slidenafil (PDE5 inhibitor)
MOA: inhibits the breakdown of cGMP which results in vasodilation
The doctor correctly diagnosed this disorder from a patient presenting with chest pain lasting 5-10 minutes, ST depression, T wave inversion, and negative cardiac biomarkers.
What is unstable angina?
What are Beta-blockers like Propranolol or Nondihydropyridine CCBs?
*decreases O2 demand
* Do NOT use together
This disorder presents as tachycardia, increased pulse pressure, and JVD secondary to anemia, thyrotoxicosis, AV fistula, or Beriberi (vitamin B1 deficiency).
What is High Output Heart Failure?
The mechanism of Vasopressin.
What is VSMC contraction and insertion of aquaporin in medullary collecting duct?
The MOA of Nitroglycerin.
What is releases NO via MtALDH2 resulting in venodilation (decrease preload/ O2 demand) and coronary artery dilation (increase O2 supply)?
These changes in CO, PCWP, and CVP are seen with an inferior wall infarction caused by complete occlusion of the proximal RCA.
What are decreased CO, decreased PCWP, and increased CVP?
Medication used to prevent Reinfarction and Vfib when there are no signs of heart failure.
What is metoprolol?
The treatment for this involves K+ sparing diuretics, ARBs, and ARNIs.
What is HFrEF?
*Beta-blockers, ACEIs, ARBs do not improve mortality and morbidity
This drugs blocks funny-Na channel at the SA node and induces bradycardia.
What is Ivabradine?
The result of continuous administration of nitrates (be specific).