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CAD: Overview - CORRECT ANSWER -Caused by injury to the vessel, atherosclerosis, blunt force
trauma, anything that can cause endothelial damage
CAD: Chronic endothelial injury can occur from - CORRECT ANSWER -HTN
Tobacco use
Hyperlipidemia
Hyperhomocyteinemia
Diabetes
Infections
Toxins
CAD: Risk Factors - CORRECT ANSWER -Increasing age
Gender
Ethnicity
Genetics
Serum lipids
BP greater than 140/90
Diabetes
Tobacco use
Physical inactivity
Obesity
CAD: Management - CORRECT ANSWER -Health promotion
,Physical activity
Nutritional therapy
Lipid-lowering drug therapy
Antiplatelet therapy
CSA: Overview - CORRECT ANSWER -Chest pain that occurs intermittently over a long period of
time with similar onset, duration, and intensity of symptoms
Often provoked by emotional distress, physical activity, and stress
Occurs when the myocardial O2 needs exceed what the coronary arteries are able to supply
(leads to myocardial ischemia and angina)
What can cause decreased O2 supply - CORRECT ANSWER -Atherosclerosis
Spasms
Thrombosis
Dysrhythmias
HF
Valve disorders
Anemia
Asthma
COPD
Hypovolemia
Hypoxemia
Pneumonia
Substance (stimulant) abuse
What can cause increased O2 demand/consumption - CORRECT ANSWER -Aortic stenosis
Cardiomyopathy
,Dysrhythmias
LV hypertrophy
Tachycardia
Anxiety
HTN
Hyperthyroidism
Physical exertion
Substance (stimulant) abuse
Angina: Precipitating Factors - CORRECT ANSWER -Physical exertion
Temperature extremes
Strong emotions
Stimulants
Sexual activity
Consumption of heavy meals
Tobacco use/environmental tobacco smoke
Circadian rhythm patterns
PQRST - CORRECT ANSWER -Used to assess CSA
PQRST: P - CORRECT ANSWER -Precipitating factors of pain
PQRST: Q - CORRECT ANSWER -Describe the pain/discomfort
PQRST: R - CORRECT ANSWER -Location of pain
Does the pain radiate
, PQRST: S - CORRECT ANSWER -Use the pain scale
PQRST: T - CORRECT ANSWER -Time
When did the pain begin? Has the pain changed since? Have you had pain/discomfort like this
before?
CSA: Assessments - CORRECT ANSWER -H&P
12-lead ECG
Stress test
Coronary computed tomography
Echo
CT
Positron emission tomography
Coronary angiography
Laboratory studies
CSA: Tx: Drug therapy - CORRECT ANSWER -Antiplatelets
Nitrates (nitro) - improves oxygen supply to the heart
ACE inhibitors
ARBs
BBs
CCBs
Lipid lowering drugs
Nitroglycerine side effects - CORRECT ANSWER -Headache