Question | Answer |
difference between unstable angina and MI | myonecrosis |
site w/lowest risk of bleeding | radial A |
most common PCI site | femoral A |
used to define plaque morphology | IVUA |
used to measure pressure difference | FFR |
used to define vessel wall contours | OCT |
method of restenosis common with bare metal stents | neointimal hyperplasia |
need ASA for life and clopidogrel for at least 1 month | bare metal stents |
need ASA for life and clopidogrel for at least 1 year | drug eluding stents |
takes longer for scar to form over stent | drug eluding stents |
local hematoma | direct pressure on hematoma and give IV fluids |
indicated by bradycardia or tachycardia w/back pain and hypotension | retroperitoneal hematoma |
retroperitoneal hematoma | manual compression of puncture site, stop anticoagulants, and give IV fluids/transfusion |
not stopped w/retroperitoneal hematoma | antiplatelets |
pseudoaneurysm | manual compression or thrombin injection |
sicker pt, heart failure, poor renal function, more dye used | higher risk for acute renal failure |
acute renal failure | HYRDATE |
blue toe syndrome | aggressive ASA |
no driving | within 48 hrs |
monitor vitals, groin, renal function, and CBC | within 24 hrs |
MI goals for PCI | alleviate sx, dec MI size, dec mortality |
angina goals for PCI | alleviate sx |
evaluated using PCI | CHF, valvular heart disease, congenital heart disease |
type(s) of angina that indicates PCI | stable |
type(s) of coronary syn's that indicate PCI | acute (STEMI and NSTEMI) |
type(s) of chest pain that indicates PCI | nonspecific, with SOB |