SIHD Cardio Exam 8 with
100% correct
answers(download to pass)
What is the definition of SIHD? - answer Clinical syndrome
characterized by discomfort in chest, jaw, shoulder, back or arm.
Typically aggravated by exertion/stress, relieved by NTG.
Predictable and STABLE (chest pain persists <20 min)
What is the low risk classification of impending MI or death based
on? - answer New onset exertional angina, slightly increased
frequency/duration/severity, LOW angina pain, not longer than <20
min, no pain at rest, no nocturnal angina, normal/stable ECG
What is the moderate/intermediate risk classification of impending
MI or death based on? - answer Angina at rest >20 min, relieved by
NTG, nocturnal angina, T-wave changes in ECG
What is the high risk classification of impending MI or death based
on? What is this generally associated with? - answer Prolonged
angina >20 min at rest, acute pulmonary edema, ST-segment
change, worsening rales (lung sounds), angina w/ hypotension,
mitral valve regurgitation, persistent ECG change after angina
resolves, recurrent/severe angina post-MI or post-angioplasty
intervention
-Generally associated w/ LV dysfunction
Define class I-IV of effort angina. - answer I. Ordinary physical
activity does not cause angina
II. Slight limitation of ordinary activity: angina after awakening or
under stress, or certain activities (walking MORE than 2 blocks, OR
climbing MORE than 1 flight of stairs brings on angina)
, III. Marked limitation of ordinary physical activity: Walking 1-2
blocks, climbing 1 flight of stairs
IV. Inability to carry out any physical activity without discomfort:
Angina present at rest
How long after your heart experiences an ischemic episode does
angina occur? - answer 30 seconds
Information slide - SIHD - answer P-LVED is a factor of volume and
pressure (from LV)
What are the goals of treatment in SIHD (from most important to
least)? - answer Cardiac death, nonfatal ischemic events, disease
progression, symptoms and function limitations
What initial assessments will you put a patient through when
evaluating SIHD? - answer -Chest pain differential
-ECG
-Cardiac biomarkers: CK-MB, TnT/TnI
-Other relevant tests
What should characteristics should you look for when evaluating
description of pain? - answer -Quality: pressure, tightness, crushing
(elephant sitting on chest)
-Duration: 30 sec - 30 min
-Location: substernal, left arm (sometimes right)
-Radiation: jaw, back, arm
What should you evaluate when doing a chest pain assessment? -
answer -whether its typical, atypical, or non-cardiac
-Description, precipitating factors, relieving factors
100% correct
answers(download to pass)
What is the definition of SIHD? - answer Clinical syndrome
characterized by discomfort in chest, jaw, shoulder, back or arm.
Typically aggravated by exertion/stress, relieved by NTG.
Predictable and STABLE (chest pain persists <20 min)
What is the low risk classification of impending MI or death based
on? - answer New onset exertional angina, slightly increased
frequency/duration/severity, LOW angina pain, not longer than <20
min, no pain at rest, no nocturnal angina, normal/stable ECG
What is the moderate/intermediate risk classification of impending
MI or death based on? - answer Angina at rest >20 min, relieved by
NTG, nocturnal angina, T-wave changes in ECG
What is the high risk classification of impending MI or death based
on? What is this generally associated with? - answer Prolonged
angina >20 min at rest, acute pulmonary edema, ST-segment
change, worsening rales (lung sounds), angina w/ hypotension,
mitral valve regurgitation, persistent ECG change after angina
resolves, recurrent/severe angina post-MI or post-angioplasty
intervention
-Generally associated w/ LV dysfunction
Define class I-IV of effort angina. - answer I. Ordinary physical
activity does not cause angina
II. Slight limitation of ordinary activity: angina after awakening or
under stress, or certain activities (walking MORE than 2 blocks, OR
climbing MORE than 1 flight of stairs brings on angina)
, III. Marked limitation of ordinary physical activity: Walking 1-2
blocks, climbing 1 flight of stairs
IV. Inability to carry out any physical activity without discomfort:
Angina present at rest
How long after your heart experiences an ischemic episode does
angina occur? - answer 30 seconds
Information slide - SIHD - answer P-LVED is a factor of volume and
pressure (from LV)
What are the goals of treatment in SIHD (from most important to
least)? - answer Cardiac death, nonfatal ischemic events, disease
progression, symptoms and function limitations
What initial assessments will you put a patient through when
evaluating SIHD? - answer -Chest pain differential
-ECG
-Cardiac biomarkers: CK-MB, TnT/TnI
-Other relevant tests
What should characteristics should you look for when evaluating
description of pain? - answer -Quality: pressure, tightness, crushing
(elephant sitting on chest)
-Duration: 30 sec - 30 min
-Location: substernal, left arm (sometimes right)
-Radiation: jaw, back, arm
What should you evaluate when doing a chest pain assessment? -
answer -whether its typical, atypical, or non-cardiac
-Description, precipitating factors, relieving factors
