Chest Pain DSA

Question 1

At what age does your CV dz risk increase?

Answer 1

>55 male

>65 female

Question 2

What are the serious seven?

Answer 2

potentially lethal causes of chest pain (MMAPPEP)

myocardial ischemia

MI

Aortic dissection

PE

Pneumothorax

Esophageal rupture

Pericarditis

Question 3

When can you hear an S4 gallop?

Answer 3

during angina attack

Question 4

When can you hear an S3 gallop?

Answer 4

in heart failure

Question 5

What do you see on a CBC in setting of MI?

Answer 5

WBCs mildly elevated

Question 6

What are the 3 types of pharmacologic stress testing?

Answer 6

vasodilator nuclear perfusion (adenosine, regadenoson)

dobutamine nuclear perfusion

dobutamine echo

Question 7

What is the difference btw supply and demand angina?

Answer 7

supply angina - decr O2 delivery (from blocked As) to tissue causes ischemia

demand angina - incr myocardial O2 requirement and workload leads to ischemia

Question 8

What does an ECG look like during stable angina?

Answer 8

50% of ppl have normal ECG

others can have ST elevation or depression

Question 9

What neuro things can raise troponin?

Answer 9

stroke

intracranial hemorrhage

Question 10

What renal things can raise troponin?

Answer 10

renal failure

shock

Question 11

Who often has a painless STEMI?

Answer 11

elderly female w/ DM

Question 12

What type of MI often presents w/ nausea, vomiting, and indigestion?

Answer 12

inferior wall MI

Question 13

MI of what artery causes papillary muscle damage?

Answer 13

RCA