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    OC-Ischemia Heart Disease

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    Charlie Lee
    Ischemic heart disease (IHD) results from reduced blood flow to the heart muscle and includes stable angina, unstable angina, non-ST elevated myocardial infarction (MI), and ST-elevated MI. The main risk factors for IHD are male sex, age, smoking, hypertension, and hyperlipidemia. Management depends on the type and severity of IHD, ranging from lifestyle modifications and medications for stable angina to immediate interventions like percutaneous coronary intervention for acute coronary syndromes.

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    OC-Ischemia Heart Disease

    Uploaded by

    Charlie Lee
    33 views1 page
    Ischemic heart disease (IHD) results from reduced blood flow to the heart muscle and includes stable angina, unstable angina, non-ST elevated myocardial infarction (MI), and ST-elevated MI. The main risk factors for IHD are male sex, age, smoking, hypertension, and hyperlipidemia. Management depends on the type and severity of IHD, ranging from lifestyle modifications and medications for stable angina to immediate interventions like percutaneous coronary intervention for acute coronary syndromes.

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    Ischemic heart disease (IHD) results from reduced blood flow to the heart muscle and includes stable angina, unstable angina, non-ST elevated myocardial infarction (MI), and ST-elevated MI. The main risk factors for IHD are male sex, age, smoking, hypertension, and hyperlipidemia. Management depends on the type and severity of IHD, ranging from lifestyle modifications and medications for stable angina to immediate interventions like percutaneous coronary intervention for acute coronary syndromes.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    33 views1 page

    OC-Ischemia Heart Disease

    Uploaded by

    Charlie Lee
    Ischemic heart disease (IHD) results from reduced blood flow to the heart muscle and includes stable angina, unstable angina, non-ST elevated myocardial infarction (MI), and ST-elevated MI. The main risk factors for IHD are male sex, age, smoking, hypertension, and hyperlipidemia. Management depends on the type and severity of IHD, ranging from lifestyle modifications and medications for stable angina to immediate interventions like percutaneous coronary intervention for acute coronary syndromes.

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    © All Rights Reserved
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    of 1

    ISCHEMIC HEART DISEASE

    DEFINITIONS
    Stable angina |clinical syndrome of chest pain & periods of myocardial ischemia. AETIOLOGY
    Unstable angina | recurrent periods of angina on minimal effort or at rest; may • Thrombus on
    be initial presentation of IHD or abrupt deterioration of previously stable angina. inflamed/
    Non-ST elevated MI |unstable coronary syndrome with subsequent rise in complicated
    cardiac enzymes. atheromatous
    ST-elevated MI |blockage of coronary artery causing death to myocardium. plaque (most
    common)
    • Arteritis arrhythmia
    SIGNS & SYMPTOMS • Cardiomyopathy
    • Thyrotoxicosis
    Classically… Stable Angina • Anemia
    • Central crushing chest pain *S&S brought on by exertion/
    • Radiates to jaw/limbs emotion/cold & relieved by rest/
    • Nausea
    RISK FACTORS
    GTN.
    • Male
    • Diaphoresis
    • Age
    • Dyspnoea • Obesity
    • Smoking
    • Alcohol
    • Family Hx
    • Hypertension
    ACUTE CORONARY SYNDROME | spectrum of unstable coronary artery • Hyperlipidaemia
    disease from unstable angina to transmural MI. • Diabetes
    • Rheumatoid arthritis
    ECG CHANGES •
    •
    Psoriasis
    COCP
    Non-STEMI Leads
    • Premature
    menopause

    DIFFERENTIALS
    ST segment T wave inversion
    depression
    Costochondritis
    STEMI
    ! Trauma IHD
    • Circumflex — lateral
    • Left anterior descending—septal &
    anterior
    Aortic Dissection
    • Right Coronary Artery—inferior

    MANAGEMENT Valve Disease

    Secondary MI
    Stable Angina Immediate ACS
    Prevention Pericarditis
    • Lifestyle changes
    • Aspirin 300 mg
    • Cardiac rehab

    • CV risk reduction
    • Nitro Spray
    • Lifestyle GERD Shingles
    • Aspirin 75 mg OD
    • Oxygen
    modifications

    • Statin
    • Morphine
    • Aspirin 75 mg OD

    • ACE (w/ HX MI/ • Antiemetic • Statin


    Esophageal
    DM/CKD/LVD)
    (domperidone)
    • ACE
    Rupture
    • Nitro Spray
    • ECG
    • B-blocker

    • Symptom control
    • Refer for PCI • Clopidogrel &/or
    • B-blockers &/or rivaroxaban 1 year.

    NOTES:
    • T wave inversion
    CCB
    • LVD—add B-blocker
    normal in aVR &
    • Nitrate, & spironolactone

    variable in III.
    ivrabradine,
    • Cardiac markers
    nicorandil
    troponin I & T, CK-MB.

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