SIHD ACS Exam Questions & Answers 2024/2025
Chest pain that is PREDICTABLE; it occurs with activity or stress and is RELIEVED by rest or nitroglycerin; mostly due to ATEROSCLEROSIS - ANSWERSstable ischemic heart disease
Chest pain that is UNPREDICTABLE; due to VASOSPASM of coronary arteries...
Chest pain that is PREDICTABLE; it occurs with activity or stress and is RELIEVED by rest or nitroglycerin;
mostly due to ATEROSCLEROSIS - ANSWERSstable ischemic heart disease
Chest pain that is UNPREDICTABLE; due to VASOSPASM of coronary arteries but NOT ASSOCIATED with
underlying CAD and associated with illicit drug use - ANSWERSPrinzmetal's Angina
Chest pain that is ACUTE and SEVERE and NOT relieved by rest or nitroglycerin - ANSWERSacute coronary
syndromes
Transient myocardial ischemia WITHOUT symptoms of chest pain - ANSWERSsilent ischemia
What is the diagnostic test for SIHD? - ANSWERScardiac stress test
What pharmacological agent is used in place of cardiac stress test? - ANSWERSdipyridamole, adenosine,
regadenosone, dobutamine
"ABCDE" treatment approach to SIDH - ANSWERSAntiplatelet and Antianginal
Blood pressure control with BBs
Cholesterol control and Cigarettes cessation
Diet and Diabetes control
Exercise
What is the PREFERRED antiplatelet agent for SIHD? - ANSWERSaspirin
What is the alternative antiplatelet agent for SIHD? - ANSWERSclopidogrel
, What is the FIRST-LINE antianginal agent for SIHD? - ANSWERSBBs
What are the alternative antianginal agent for SIHD? - ANSWERSCCBs (dihydro and nondihydropyridine),
or long-acting nitrates
What is the PREFERRED antianginal for immediate relief? - ANSWERSShort-acting nitrates
MOA of aspirin - ANSWERSIRREVERSIBLY binds to COX 1 and COX 2 enzyme, resulting in decreased PG
and TXA2 production
What is the function of TXA2 - ANSWERSpotent vasoCONSTRICTOR and INDUCER of platelet
AGGREGATION
Bayer, Bufferin, Ecotrin - ANSWERSaspirin
Yosprala - ANSWERSaspirin/omeprazole
Duration of DAPT in SIHD vs. ACS - ANSWERSSIHD*
-bare metal stent x 1 month
-drug eluting stent x 6 month
-post CABG x 12 month
ACS*
-12 month FOR ALL
Which antiplatelet drugs should be continued INDEFINITELY after DAPT has completed for SIDH? -
ANSWERSaspirin
How to titrate BBs in SIDH? - ANSWERSto HR of 55-60 BPM
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