ISCHEMIC HEART DISEASE EXAM
QUESTIONS AND 100% CORRECT
ANSWERS
What is acute coronary syndrome?
Umbrella term used to cover any group of clinical symptoms that's like an acute
MI (CAD, ischemia, coronary heart disease)
True/False. As much as 50% blockage in a coronary artery does not produce
symptoms at all!.
True :O
severe ischemia can produce significant sx's in some and none in others!
What is angina itself?
chest pain (caused insufficient blood flow to heart sec. to narrowing of coronary
artery)
What is the classical symptom of a stable angina?
Angina pectoris (ischemic chest pain)
If a patient comes into your clinic with stable angina, how would he likely
describe his symptoms?
,Described as pressure, heaviness, tightness over middle of chest (substernal)
sometimes over the heart, shoulders, arm, throat jaw or teeth
never sharp or shooting pain -- need to differentiate between chest wall pain due
to musculoskeletal issues and true anginal pain*
The good thing about working with patients with stable angina is that....
you can predict the level of exertion (which is precipitated by exertion, stress,
emotions, and heavy meals)
pain usually lasts about several minutes and relieved by rest
Ischemic threshold aka anginal threshold is what?
the HR at which the patient gets chest pain
It is safe to keep stable angina patients how many beats below ischemic
threshold?
10 beats below ischemic threshold
Compared to stable angina, unstable angina is used to denote what?
changes in anginal pattern OR angina at rest
If a patient has anginal pain at rest, can you treat or no?
YOU CANNOT TREAT
Which of the 3 types of angina is one that occurs with less exertion, lasts longer
and becomes less responsive to meds?
a. Unstable angina
b. Stable angina
c. Prinzmetal angina
A. Unstable Angina
Which type of angina reveals plaque rupture, ulceration or hemorrhage with
thrombus formation?
Unstable
, Which type of angina is relieved by rest or nitroglycerine?
Stable
Which type of angina can PTs typically work with?
a. stable
b. unstable
c. prinzmetal
A. Stable
Variant, atypical angina is known as?
Prinzmetal's angina
What is the pathophysiology behind prinzmetal's angina?
It's not like stable and unstable angina in that it is NOT caused by
atherosclerotic narrowing
INSTEAD, prinzmetal's angina is caused by arteries suddenly spasm-ing, which
leads to vasoconstriction of coronary arteries --> ISCHEMIA D:
worst in the AM
Which type of angina is when ischemic cardiac pain always occur at rest?
a. unstable
b. stable
c. prinzmetal
C. Prinzmetal's angina
- may be associated with acute MI and cardiac arrthymias
When does Prinzmetal's angina occur?
Voordelen van het kopen van samenvattingen bij Stuvia op een rij:
Verzekerd van kwaliteit door reviews
Stuvia-klanten hebben meer dan 700.000 samenvattingen beoordeeld. Zo weet je zeker dat je de beste documenten koopt!
Snel en makkelijk kopen
Je betaalt supersnel en eenmalig met iDeal, creditcard of Stuvia-tegoed voor de samenvatting. Zonder lidmaatschap.
Focus op de essentie
Samenvattingen worden geschreven voor en door anderen. Daarom zijn de samenvattingen altijd betrouwbaar en actueel. Zo kom je snel tot de kern!
Veelgestelde vragen
Wat krijg ik als ik dit document koop?
Je krijgt een PDF, die direct beschikbaar is na je aankoop. Het gekochte document is altijd, overal en oneindig toegankelijk via je profiel.
Tevredenheidsgarantie: hoe werkt dat?
Onze tevredenheidsgarantie zorgt ervoor dat je altijd een studiedocument vindt dat goed bij je past. Je vult een formulier in en onze klantenservice regelt de rest.
Van wie koop ik deze samenvatting?
Stuvia is een marktplaats, je koop dit document dus niet van ons, maar van verkoper luzlinkuz. Stuvia faciliteert de betaling aan de verkoper.
Zit ik meteen vast aan een abonnement?
Nee, je koopt alleen deze samenvatting voor €14,14. Je zit daarna nergens aan vast.