SIHD
Pharmacotherapy with
100% correct
answers(download to
pass)
angina - answer Cardiac chest pain - squeezing, crushing, heaviness,
tightness
SIHD: pain 5-10 mins; precipitated by exertion; relieved by rest or
NTG
ACS: pain >20 mins; not relieved by rest
types of angina - answer Stable: 1. Effort or exertional angina; 2.
Silent angina; ASCVD - 70 % blockage → vessels dilate at rest →
can't dilate more for exertion → supply cannot meet demand →
stable angina
Unstable: unpredictable; symptomatic at rest; can lead to NSTEMI,
STEMI; ASCVD plaque bursts, causing platelet plug formation →
incompletely occlusive clot formation → completely occlusive clot
formation → MI (STEMI, NSTEMI)
Vasospasm: coronary vasospasm - presence of ASCVD; prinzmetal -
absence of ASCVD, typically in younger individuals, idiopathic or
drug-induced (cocaine)
blood vessels and testing - answer Vessels constrict when demand
is low to reduce cardiac blood flow, opposite when high demand
Pharmacotherapy with
100% correct
answers(download to
pass)
angina - answer Cardiac chest pain - squeezing, crushing, heaviness,
tightness
SIHD: pain 5-10 mins; precipitated by exertion; relieved by rest or
NTG
ACS: pain >20 mins; not relieved by rest
types of angina - answer Stable: 1. Effort or exertional angina; 2.
Silent angina; ASCVD - 70 % blockage → vessels dilate at rest →
can't dilate more for exertion → supply cannot meet demand →
stable angina
Unstable: unpredictable; symptomatic at rest; can lead to NSTEMI,
STEMI; ASCVD plaque bursts, causing platelet plug formation →
incompletely occlusive clot formation → completely occlusive clot
formation → MI (STEMI, NSTEMI)
Vasospasm: coronary vasospasm - presence of ASCVD; prinzmetal -
absence of ASCVD, typically in younger individuals, idiopathic or
drug-induced (cocaine)
blood vessels and testing - answer Vessels constrict when demand
is low to reduce cardiac blood flow, opposite when high demand
