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CV - Ischemic Heart

Ischemic Heart Disease

Stable Angina Pectoris - Characteristics Due to fixed atherosclerotic lesions that narrow major coronary arteries (imbalance in blood supply & O2 demand)
Stable Angina Pectoris - Risk Factors 1. DM 2. Hyperlipidemia (LDL) 3. HTN 4. Cigarette Smoking 5. Age (45+ for men, 55+ for women) 6. FamHx of CAD or MI in 1st degree relative 7. Low HDL 8. Elevated Homocysteine
Stable Angina Pectoris - Prognostic Indicators 1. LV EF (nml is 50%+ 2. Left Main Coronary A.: poor prognosis vs. 2-3 Vessel CAD which has worst prognosis
Stable Angina Pectoris - Clinical Presentation Chest pain/substernal pressure sensation lasting less than 10-15 min (usually 1-5) brought on by exertion/emotion and relieved with rest or Nitroglycerin
Stable Angina Pectoris - Dx Tool #1 1. Resting ECG: usually nml in pt w/ stable angina (presence of Q waves = prior MI, presence of ST seg/T wave abnormalities must be treated as UNSTABLE angina)
Stable Angina Pectoris - Dx Tool #2 If nml resting ECG & capable of exercise on treadmill: EXERCISE STRES TEST
Stable Angina Pectoris - Stress ECG ECG recorded before, during, after exercise on treadmill: 75% sensitive IF pt able to exercise sufficiently to increase heart rate to 85% of max predicted value for age
Created by: dsilver2