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Pathoma: Fundamentals of Pathology (2018)
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Ischemic Heart Disease

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Pathoma: Fundamentals of Pathology (2018) | Medicine (MD/DO) School Study Aid

Ischemic Heart Disease
10 Picmonics to Learn | 24 mins
Stable Angina
Assessment
Chest Pain with Exertion
Relieved within 15 Minutes
ST Depression
Interventions
Nitroglycerin
Up to 3 Doses q 5 Minutes
Rest
Antiplatelet Medication
CABG
Angioplasty
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2 mins
Unstable Angina
Assessment
Chest Pain with Rest or Exertion
Limits ADLs
> 15 Minutes
Less Likely Relieved by Nitroglycerin
ST Depression
Fatigue
Considerations
Acute Coronary Syndrome (ACS) Treatment
Emergency Treatment
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2 mins
Myocardial Infarction Assessment
Assessment
Substernal Chest Pain
Crushing or Dull Sensation
Arm, Jaw, and Neck
> 20 Minutes
Unrelieved by Nitro
Palpitations
Diaphoresis
Fear of Impending Doom
Nausea and Vomiting
Shortness of Breath
Considerations
Monitor for Arrhythmias
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2 mins
Myocardial Infarction Diagnosis
Diagnosis
12 Lead ECG
ST Elevation
Q Wave
T Wave Inversion
Troponin T and I
CK-MB
Considerations
Early ECG
Cardiac Stress Test
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2 mins
Myocardial Infarction Interventions
MONA
Morphine
Oxygen
Nitrates
Aspirin
Thrombolytics (tPA)
Invasive Procedures
Cardiac Catheterization
Stent Placement
Angioplasty
Coronary Artery Bypass Grafting (CABG)
Considerations
Decrease Modifiable Risk Factors
Resuming Activity (Physical, Sexual)
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2 mins
Evolution of Myocardial Infarction and Complications
Hours to Days
Arrhythmia
Before 7 Days
Fibrinous Pericarditis
Papillary Muscle Rupture
Interventricular Septum Rupture
Before 14 Days
Ventricular Pseudoaneurysm
Ventricular Free Wall Rupture
After 14 Days
True Ventricular Aneurysm
Dressler Syndrome
Other
Left Ventricular Failure
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2 mins
TIMI Score (Thrombolysis In Myocardial Infarction)
Use
Mortality Predictor
Unstable Angina or NSTEMI
2 Week Risk of Death and Ischemic Events
AMERICA (Each is +1)
Age Greater or Equal to 65
Markers Elevated
EKG ST Changes (Greater or Equal to 0.5mm)
Risk Factors for CAD (Coronary Artery Disease)
Ischemia (2 Anginal Events in 24 Hours)
Coronary Artery Disease (CAD)
Aspirin Use in the Last 7 Days
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3 mins
Brugada Syndrome
Defective Myocardial Sodium Channels
Predominance in Asian Males
Autosomal Dominant
Pseudo-Right Bundle Branch Block Pattern
Persistent ST Elevations in Leads V1-V2
Risk of VTACH and Sudden Cardiac Death
Syncope
Management
ICD
Antiarrhythmics
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3 mins
Congenital Long QT Syndrome
PATHOGENESIS
Inherited Disorder of Myocardial Repolarization
Potassium (K+) Channel Mutations
SYMPTOMS
Prolonged QT Interval
Torsades de Pointes
Increased Risk of Sudden Cardiac Death (SCD)
TYPES OF SYNDROMES
Romano-Ward Syndrome
Autosomal Dominant
Pure Cardiac Phenotype (No Deafness)
Jervell and Lange-Nielsen Syndrome
Autosomal Recessive
Sensorineural Deafness
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4 mins
Monckeberg Sclerosis
Characteristics
Calcification of Tunica Media
Medium and Small-Sized Arteries
Benign
Does Not Obstruct Blood Vessels
Epidemiology
Elderly >50 Years Old
Associations
Hyperphosphatemia
Chronic Kidney Disease
Diabetes Mellitus
Consideration
Poor Prognosis
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2 mins

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