Pathophysiology of Coronary Artery Disease
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Questions and Answers

What is the primary cause of coronary artery disease (CAD) according to the text?

  • Narrowing of the coronary arteries by fatty material accumulation (correct)
  • Genetic predisposition to heart diseases
  • Accumulation of cholesterol in the blood vessels
  • Inflammation of the heart muscle

Which blood vessels are commonly used as grafts in bypass procedures for blocked coronary arteries?

  • Coronary arteries
  • Veins from the legs (correct)
  • Pulmonary arteries
  • Arteries from the brain

In coronary artery bypass grafting (CABG) surgery, how is blood rerouted around the blocked portion of the artery?

  • By attaching one end of a graft above the blockage and the other end below it (correct)
  • By using medications to dissolve the blockage
  • By inserting stents in the narrowed artery
  • By widening the narrowed artery using a balloon angioplasty

What does a cardiopulmonary bypass machine do during CABG surgery?

<p>Pumps blood through the body while the heart is stopped (C)</p> Signup and view all the answers

Why is the sternum cut in half and spread apart during CABG surgery?

<p>To expose the heart for bypass surgery (A)</p> Signup and view all the answers

What is a common complication associated with CAD that may necessitate CABG surgery?

<p>Heart attack (C)</p> Signup and view all the answers

What is the main role of insulin in the body?

<p>To transport glucose into body cells for energy storage (D)</p> Signup and view all the answers

Why do patients with type 1 diabetes require external insulin for survival?

<p>Because their pancreas does not produce insulin (C)</p> Signup and view all the answers

What is the primary purpose of administering low-dose aspirin to patients?

<p>To prevent blood clot formation (C)</p> Signup and view all the answers

Which drug is primarily used in the treatment of hypertension and congestive heart failure?

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

What cardiac issue is associated with morbid obesity?

<p>Cardiomegaly (C)</p> Signup and view all the answers

Why is an adenosine perfusion study preferred over a stress treadmill for assessing cardiac function?

<p>It provides superior quantification of longitudinal LV wall motion (B)</p> Signup and view all the answers

What is the main side effect associated with high dosages of aspirin?

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

In patients with type 2 diabetes mellitus, why may some eventually require insulin therapy?

<p>Because they are insulin resistant (A)</p> Signup and view all the answers

What is a concern regarding gastroesophageal reflux disease (GERD) when it comes to transesophageal echocardiography?

<p>GERD is a contraindication for transesophageal echocardiography due to the risk of esophageal perforation (A)</p> Signup and view all the answers

Why is aortic atherosclerotic disease considered a contraindication for a three-vessel bypass using a MIDCABG technique?

<p>The presence of aortic atherosclerotic disease increases the risk of complications during MIDCABG (A)</p> Signup and view all the answers

What are the advantages of placing a thoracic epidural as an adjunct to general anesthesia?

<p>It can enhance postoperative pain management and reduce the need for opioids (C)</p> Signup and view all the answers

Why is avoiding cardiopulmonary bypass seen as advantageous in certain cardiac procedures?

<p>To avoid potential complications associated with using a cardiopulmonary bypass machine (A)</p> Signup and view all the answers

How does gastroesophageal reflux disease (GERD) relate to its consideration as a contraindication for transesophageal echocardiography?

<p>GERD can cause inflammation of the esophagus, impacting the visibility during the echocardiography (D)</p> Signup and view all the answers

What is a major advantage associated with minimally invasive cardiac surgery (MIDCABG)?

<p>Decreased morbidity (A)</p> Signup and view all the answers

Which of the following is a disadvantage associated with minimally invasive cardiac surgery (MIDCABG)?

<p>Inability for vessel bypass on the posterior aspect of the heart (A)</p> Signup and view all the answers

What is one of the most significant postoperative complications for a patient with diabetes and obesity after median sternotomy?

<p>Wound infection (C)</p> Signup and view all the answers

What can occur if ischemia caused by stabilizing sutures or reperfusion arrhythmias caused by releasing sutures progresses to ventricular fibrillation during surgery with a small thoracotomy?

<p>Motion, bleeding, arrhythmias, hemodynamic variability (A)</p> Signup and view all the answers

Why is cardiopulmonary bypass not used in minimally invasive cardiac surgery (MIDCABG)?

<p>To address complications associated with extracorporeal circulation (C)</p> Signup and view all the answers
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