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RF for PAD.
- age 40 yrs or older
40% of people with ASCVD will have ________.
The location of pain doesn't necessarily help determine the cause of chest pain - what DOES?
Can NTG relieve non-cardiac pain?
You will not see anything on an ECG until _____% has changed.
Conditions that increase myocardial O2 demand.
Conditions that decrease O2 supply to heart.
What patients will have an atypical AMI presentation?
What other things should you rule out when suspecting an AMI?
- Acute pericarditis
- aortic dissection
- spontaneous pneumothorax
- pulmonary embolism (OCs!)
How do you tx prevention of second MI?
- antiplatelet (if stent, ASA & Plavix)
- BB - carvedilol, metoprolol, or bisoprolol ONLY)
- ACEI (esp DM, HTN, decreased LV function)
- statin therapy
- cardiac rehab
What is the follow up time for post-MI?
- q 2-6 mos
- ECG q year
- cardiology testing q 1-2 yrs
If you hear a carotid bruit, you should make sure it is not actually a ________.
30% of ischemic strokes are due to what?
atherosclerosis at the bifurcation
The internal carotid artery supplies blood to?
The external carotid artery supplies blood to?
Management of carotid stenosis.
- No routine screening
- statins for hyperlipidemia
- HTN control
- doppler ultrasound: refer if >60% or symptomatic
An objective dx can be made for PAD with ankle brachial index of what?
RF for PAD.
- HTN, hyperlipidemia
- males, 40+ yoa
PE findings for PAD.
- dependent rubor
- dry, scaly skin
- poor nail growth
- hair loss
- five Ps
Tx for PAD.
- claudication rehab
- RF reduction
- ASA 81 mg
When evaluating for PAD, what else should you screen for if not already dx?
RF for varicose veins (--> PVD).
- hormones (female, pregnancy)
- prolonged standing
Valve dysfunction, local tissue edema and unilateral LE swelling can be?
chronic venous insufficiency
Tx for chronic venous insufficiency.
- compression stockings
- if ulcers, need to control edema first!
- Unna boot
- refer, poss vascular surgery
________ therapy does NOT work for edema due to chronic venous insufficiency