Ischemic HD

Question 1

Other names for CAD

Answer 1

Congestive HD and heart disease

Question 2

CAD

Answer 2

atherosclerotic clogging of the coronary arteries causing cells to die bc the lumen are swollen

Question 3

Coronary arteries

Answer 3

• branch from the root of the aorta and give the heart cells oxygenated blood

Question 4

the widowmaker

Answer 4

L anterior descending artery when it is clogged (worst bc it supplies L vent)

Question 5

Big risk of CAD

Answer 5

heart attacks

Question 6

non-modifiable risk fx for CAD

Answer 6

gender (men and women after menopause), Black and indigenous ppl, genetics

Question 7

Modifiable risk factors for CAD

Answer 7

HTN, smoking and 2nd hand exposure, nicotinic stimulation of catecholamines, DM, obesity (esp android - affects adiopcytes), diet, HLD, dep/anx, stress

Question 8

Protective fx for CAD

Answer 8

DASH diet

Question 9

Why does smoking inc risk CAD

Answer 9

damages endothelial cell walls

Question 10

Ischemia HD

Answer 10

atherosclerosis develop in arteries supplying the myocardium, causing arterial blockages
- dec tissue perfusion and endothelial dysfxn causing the vessels to narrow when they are meant to pump
- heart works harder to pump

Question 11

Causes of ichemic HD

Answer 11

DM, HTN, smoke, HPL

Question 12

Angina

Answer 12

• main sx of CAD
• can refer to chest pain or collection of sx (dizzy, irreg HR, weak, burn in ab, cold sweats, nausea, anx)
• worsens as BF dec and arteries narrow more

Question 13

What occurs with a complete occlusion of the arteries?

Answer 13

MI

Question 14

MI pain

Answer 14

• not from exertion, can radiation, not relieved in 2-5 minutes
• N/V, SOA, diaphoresis, , angina pectoris and pain with MI

Question 15

Risk of MI is greatly increased with…

Answer 15

symptomatic angina

Question 16

Stable angina

Answer 16

coronary BF is dec but not blocked
- occurs with exertion, stops with rest in 2-5 min
- imbalance btwn supply and demand
- cause by athero

Question 17

What to do when feel stable angina

Answer 17

Sit down, take a nitrate

Question 18

Cardiac pain

Answer 18

pressure, tightness, diffuse and poorly localized

Question 19

non-cardiac pain

Answer 19

sharp, stabbing, focal, well-localized

Question 20

Atypical angina

Answer 20

• in women
• discomfort, hot and burning, tender
• indigestion, heartburn, nausea, faigue/weak, lightheaded

Question 21

NC for stable angina

Answer 21

• stop activity and rest to dec demand
• nitrates
• prevent/treat further ath and HTN
• edu on MI and when to see HCP (call 911 if continues over 5 min)