Ischemic Heart Disease (IHD) Quiz
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Questions and Answers

Which type of angina is characterized by chest pain at rest due to complicated atheromatous plaque?

  • Silent angina
  • Prinzmetal (variant) angina
  • Stable angina
  • Unstable angina (correct)
  • What type of myocardial infarction involves the full thickness of the ventricular wall?

  • Transmural infarction (correct)
  • Myocardial necrosis
  • Endocardial infarction
  • Subendocardial infarction
  • What is the main characteristic of Prinzmetal (variant) angina?

  • Silent ischemia without chest pain
  • Chest pain at rest due to coronary artery spasm (correct)
  • Chest pain with exercise
  • Chest pain at rest due to complicated atheromatous plaque
  • In which type of angina are recurrent attacks of chest pain typically relieved by rest and coronary vasodilators like nitroglycerin?

    <p>Stable angina</p> Signup and view all the answers

    What may occur in diabetic patients with neuropathy in relation to ischemia and chest pain?

    <p>Silent ischemia without chest pain</p> Signup and view all the answers

    What is the term for recurrent attacks of chest pain lasting for 15 seconds to 15 minutes due to myocardial ischemia?

    <p>Stable angina</p> Signup and view all the answers

    Which type of myocardial infarction is limited to the inner half of the myocardium?

    <p>Subendocardial infarction</p> Signup and view all the answers

    What is the main characteristic of Prinzmetal (variant) angina?

    <p>Chest pain at rest due to coronary artery spasm</p> Signup and view all the answers

    What may occur in diabetic patients due to neuropathy in relation to ischemia and chest pain?

    <p>Silent ischemia without chest pain</p> Signup and view all the answers

    What type of angina involves chest pain at rest due to complicated atheromatous plaque?

    <p>Unstable angina</p> Signup and view all the answers

    Study Notes

    Definition of Ischemic Heart Disease (IHD)

    • IHD refers to a group of related syndromes caused by an imbalance between oxygenated blood supply and myocardial demands.
    • Major syndromes include:
      • Angina pectoris
      • Myocardial infarction (MI)
      • Chronic ischemic heart disease (IHD)
      • Sudden cardiac death (SCD)

    Incidence of IHD

    • Age is a significant factor; risk increases notably after 40 years.
    • Gender-related differences; males are at higher risk than females, attributed to estrogen's protective effects in women during reproductive years.

    Causes of IHD

    • Coronary artery atherosclerosis:
      • Primary cause leading to narrowing of coronary arteries due to plaque build-up.
    • Other causes include:
      • Emboli
      • Vasculitis
      • Coronary spasm
      • Anemia
      • Shock
      • Tachycardia

    Pathophysiology of IHD

    • Significant coronary artery disease occurs when coronary lumen obstruction exceeds 75%.
    • This leads to symptomatic ischemia during exertion, commonly manifesting as angina pectoris.

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    Description

    Test your knowledge about Ischemic Heart Disease (IHD) and its related syndromes including Angina pectoris, Myocardial infarction (MI), Chronic IHD, and Sudden cardiac death (SCD). Explore the factors affecting the incidence of IHD such as age and sex.

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