& answers (graded A+)
Propranolol
can be used for migraine prophylaxis.
Febuxostat
should not be used in patients with a history of TIA. The patient
should be changed to Allopurinol.
Statin
should be initiated in all patients with a history of TIA
Angiotensin Receptor Blocker
could help reduce both blood pressure and uric acid levels
All patients with Ischemic Heart Disease
should be initiated on a Statin barring contraindications,
regardless of cholesterol levels.
High-intensity statin
lowers LDL cholesterol by 50% or more. Atorvastatin (40)-80mg,
Rosuvastatin 20 (40mg
Moderate Intensity Statin
LDL-C lowering 30-49%. : Atorvastatin (Lipitor)10 (20mg),
Rosuvastatin (crestor) 5(10mg), Simvastatin (zocor) 20-40mg,
Pravastatin 40 (80)mg, lovastatin 40 (80)mg, Fluvastatin XL 80
mg, fluvastatin 40mg, Pitavastatin 1-4mg
low intensity statin
, ldl-c lowering by less than 30. simvastatin 10mg, pravastatin
(pravachol)10-20mg, lovastatin 20mg, Fluvastatin 20-40mg
What is the benefit for choosing Low Molecular Weight Heparin
over Unfractionated Heparin?
LMWH has more predictable pharmacokinetics and anticoagulant
effect, making it recommended over UFH for patients with
massive pulmonary embolism, and for initial treatment of deep
vein thrombosis
Low Molecular Weight Heparin (LMWH)
does not require checking partial thromboplastin time (PTT). Also
can be given as an outpatient treatment
In a patient with very high atherosclerotic cardiovascular disease
(ASCVD) risk
there is a recommend LDL goal of less than 55 mg/dL AND a
greater than 50% reduction in LDL-C in very-high-risk patients
What medications are used to treat stable angina
Nitrates, Beta blockers, Calcium channel blockers, Ranolazine,
Ivabradine. Aspirin may also be prescribed to lower the chances
of having complications of heart disease. A combination of aspirin
with clopidogrel or other platelet inhibitors may also be
prescribed.
What medications are used to prevent stable angina?
BP meds, and Statins. Also Antianginal meds can help prevent
stable angina.
Antianginal meds
A wide range of oral medications used to prevent or relieve the
symptoms of angina, specifically stable angina pectoris. These
medications provide immediate relief from symptoms and help
prevent angina attacks.