Cardiovascular Probs

Question 1

CAD- Sx

Answer 1

• Chronic, stable angina
• Tight, squeezing
• Midsternal, radiates to L arm, shoulder
• Angina at rest
• Retrosternal chest pain refractive to NG

Question 2

CAD- Dx

Answer 2

• EKG

- Troponin

Question 3

CAD- Tx

Answer 3

• Ballon angioplasty
• Stent
• CABG

Question 4

Vascular heart disease- Sx

Answer 4

• Dyspnea at rest
• Murmurs
• Fatigue
• Palpable thrills

Question 5

Vascular heart disease- Dx

Answer 5

• Echo

Question 6

Vascular heart disease- Tx

Answer 6

• Surgical valve repair

Question 7

Thoracic aortic aneurysm- Sx

Answer 7

• Asymptomatic until rupture

- Crushing chest pain radiating to back and flank

Question 8

Thoracic aortic anuerysm- Dx

Answer 8

CT with contrast

Question 9

Abdominal aortic aneurysm- Sx

Answer 9

• Palpable, pulsitile abd mass
• Asymptomatic until ruptured
• Tender to palpation

Question 10

Abdominal aortic aneurysm- Dx

Answer 10

• US

Question 11

Abdominal aortic aneurysm- Tx

Answer 11

• Endovascular repair with grafting

Question 12

Mesenteric ischemia- Sx

Answer 12

Severe, poorly localized abd pain

• Unresponsive to opiates
• Pain out of proportion
• N/V/D
• Shock and peritonitis

Question 13

Mesenteric ischemia- Dx

Answer 13

• Arteriography

Question 14

Mesenteric ischemia- Tx

Answer 14

• Resection of gut and mesentery

- Tx within 12 hrs