Ischaemic Heart Disease Lecture ILOs
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Questions and Answers

What is the most common cause of myocardial infarction?

  • Rupture of an atherosclerotic plaque with thrombosis and vasospasm (correct)
  • Congenital abnormalities of the coronary arteries
  • Spasm of the coronary arteries
  • Embolus from a distant site

What is the typical duration of symptoms for an episode of variant angina (Prinzmetal angina)?

  • 10-20 minutes
  • Less than 5 minutes
  • 5-10 minutes
  • Symptoms are unrelated to exertion and can last for an extended period (correct)

What is the typical duration of symptoms for an episode of stable angina (effort angina)?

  • 1-5 minutes (correct)
  • Less than 1 minute
  • 5-10 minutes
  • 10-20 minutes

Which of the following is a typical characteristic of an infarct in the territory of the left anterior descending (LAD) artery?

<p>ST-segment elevation in leads V1-V4 (D)</p> Signup and view all the answers

Which of the following is a typical characteristic of an infarct in the territory of the right coronary artery (RCA)?

<p>ST-segment elevation in leads II, III, and aVF (C)</p> Signup and view all the answers

What is the typical outcome of complete coronary occlusion lasting 20-30 minutes?

<p>Irreversible myocardial injury (B)</p> Signup and view all the answers

What is the most common cause of sudden death among cases related to myocardial infarction?

<p>Obstruction of the left anterior descending artery (D)</p> Signup and view all the answers

Which artery's obstruction leads to ECG changes in leads II, III, and aVF?

<p>Right coronary artery (D)</p> Signup and view all the answers

What type of myocardial infarction results in 'non-ST elevation MI'?

<p>Subendocardial MIs (B)</p> Signup and view all the answers

During myocardial infarction, which wall of the left ventricle is affected by infarcts when the circumflex artery is obstructed?

<p>Lateral wall (D)</p> Signup and view all the answers

Which artery's obstruction may cause ECG changes in the anterior chest leads (V1 - V3)?

<p>Left anterior descending artery (B)</p> Signup and view all the answers

'ST elevation MI' or STEMI is commonly associated with which type of myocardial infarction?

<p>Transmural MIs (A)</p> Signup and view all the answers

Which of the following is the most likely consequence of a complete obstruction of the left anterior descending (LAD) coronary artery?

<p>Anterior wall myocardial infarction (C)</p> Signup and view all the answers

What is the characteristic pattern of angina pectoris caused by Prinzmetal's variant angina?

<p>Occurs at rest, often in the early morning hours (B)</p> Signup and view all the answers

Which of the following is a potential complication of a large myocardial infarction?

<p>Ventricular septal defect (A)</p> Signup and view all the answers

In the setting of an acute myocardial infarction, which of the following ECG findings is most suggestive of a right coronary artery occlusion?

<p>ST-segment elevation in leads II, III, and aVF (D)</p> Signup and view all the answers

Which of the following factors is most likely to increase myocardial oxygen demand?

<p>Increased afterload (A)</p> Signup and view all the answers

In the setting of an acute myocardial infarction, which of the following ECG findings is most suggestive of a left anterior descending (LAD) artery occlusion?

<p>ST-segment elevation in leads V1-V4 (B)</p> Signup and view all the answers

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