Stable Ischemic Heart
Disease (SIHD) questions
and answers
_______________________ happens when the arteries that supply blood
to heart muscle become hardened and narrowed.
coronary artery disease (CAD)
__________________ is caused by an obstructive atherosclerotic plaque
in one or more epicardial coronary arteries.
Stable ischemic heart disease (SIHD)
Some patients with SIHD may have a component of vasospasm that
requires a slightly different pharmacologic approach.
Increases in myocardial oxygen demand in the setting of a fixed
decrease in myocardial oxygen supply result in what?
myocardial ischemia
symptoms that may be present during times of ischemia:
diaphoresis, nausea, vomiting, and dyspnea.
__________ is mid-epigastric discomfort, effort intolerance, dyspnea,
and excessive fatigue.
Atypical Angina
One study found that 65% of women with ischemia present with
atypical symptom- more common in women, DM, and the elderly
Variant angina, also known as
Prinzmetal's angina
Patients with variant angina usually do not have flow-obstructing
atherosclerotic plaques in their coronary arteries, but instead, have
vasospasm.
The vasospasm is due to reduced production of vasodilators and an
exaggerated response to endogenous vasoconstrictors
, T/F: Patients with Prinzmetal’s angina also have a different clinical
presentation when compared to patients with SIHD due to an
obstructive coronary plaque.
True
Patients with Prinzmetal’s angina are typically what?
Younger, may experience chest pain at rest, often in the early
morning, and have transient ST-segment elevation on the
electrocardiogram (ECG).
According to AHA, in 2014 an estimated 92.1 million (36.6%) adult
Americans had at least one form of cardiovascular disease (CVD)
such as:
•CAD
•HF
•Stroke
•HTN
The prevalence of CAD is higher in men and increases with age
•Stable angina is the initial manifestation of ischemic heart disease
in approximately 50% of all patients who eventually have an MI
Approximately 8.7 million Americans have ________________ while the
prevalence of MI among adult Americans is approximately 7.9
million, together approximating the prevalence of CAD
angina pectoris
Among patients with CVD, approximately 16.5 million adult
Americans had CAD, corresponding to an estimated prevalence of
6.3%.
Modifiable risk factors of Stable Ischemic Heart Disease (SIHD):
•Hypertension (HTN)
•Dyslipidemia (LDL, TG)
•Diabetes mellitus (DM)
•Smoking
•Illicit Drugs
•Obesity/Sedentary lifestyle
NON-Modifiable risk factors of Stable Ischemic Heart Disease (SIHD):
Disease (SIHD) questions
and answers
_______________________ happens when the arteries that supply blood
to heart muscle become hardened and narrowed.
coronary artery disease (CAD)
__________________ is caused by an obstructive atherosclerotic plaque
in one or more epicardial coronary arteries.
Stable ischemic heart disease (SIHD)
Some patients with SIHD may have a component of vasospasm that
requires a slightly different pharmacologic approach.
Increases in myocardial oxygen demand in the setting of a fixed
decrease in myocardial oxygen supply result in what?
myocardial ischemia
symptoms that may be present during times of ischemia:
diaphoresis, nausea, vomiting, and dyspnea.
__________ is mid-epigastric discomfort, effort intolerance, dyspnea,
and excessive fatigue.
Atypical Angina
One study found that 65% of women with ischemia present with
atypical symptom- more common in women, DM, and the elderly
Variant angina, also known as
Prinzmetal's angina
Patients with variant angina usually do not have flow-obstructing
atherosclerotic plaques in their coronary arteries, but instead, have
vasospasm.
The vasospasm is due to reduced production of vasodilators and an
exaggerated response to endogenous vasoconstrictors
, T/F: Patients with Prinzmetal’s angina also have a different clinical
presentation when compared to patients with SIHD due to an
obstructive coronary plaque.
True
Patients with Prinzmetal’s angina are typically what?
Younger, may experience chest pain at rest, often in the early
morning, and have transient ST-segment elevation on the
electrocardiogram (ECG).
According to AHA, in 2014 an estimated 92.1 million (36.6%) adult
Americans had at least one form of cardiovascular disease (CVD)
such as:
•CAD
•HF
•Stroke
•HTN
The prevalence of CAD is higher in men and increases with age
•Stable angina is the initial manifestation of ischemic heart disease
in approximately 50% of all patients who eventually have an MI
Approximately 8.7 million Americans have ________________ while the
prevalence of MI among adult Americans is approximately 7.9
million, together approximating the prevalence of CAD
angina pectoris
Among patients with CVD, approximately 16.5 million adult
Americans had CAD, corresponding to an estimated prevalence of
6.3%.
Modifiable risk factors of Stable Ischemic Heart Disease (SIHD):
•Hypertension (HTN)
•Dyslipidemia (LDL, TG)
•Diabetes mellitus (DM)
•Smoking
•Illicit Drugs
•Obesity/Sedentary lifestyle
NON-Modifiable risk factors of Stable Ischemic Heart Disease (SIHD):
