Stable Ischemic Heart Disease PDF

Stable ichemic heart disease - High cholesterol,smoke,obsese, no exercise A diagram of a heart and a supply of myocardial infarction Description automatically generated  Grip like Stable angina- SIDHD predictabl...

Stable ichemic heart disease - High cholesterol,smoke,obsese, no exercise A diagram of a heart and a supply of myocardial infarction Description automatically generated  Grip like Stable angina- SIDHD predictable Prinzmetal can occur at rest  Exersie and stress does not have chest pain A medical information on a white board Description automatically generated with medium confidence  Ragadesson or Lexiscan is a drug used to induce a cardiac stress test \+ stress = angiography (like maybe they need a stent) A screenshot of a medical report Description automatically generated Chronic stable angina is an ascvd condition- need statin tx Aspirin- first line anti platlet agent inhibits cox enzyme cox 1  Aspirn dose range is 75-162 mg (81 mg) clopdidgrel is the alternative id they cant get asa Esomeprazole and omeprazole (2c19 inhibitors which prevent the conversion of Plavix to its active form) Yospralal- (aspirin and omperlazole) (required cardio protection with aspirn and high gi bleed risk) A list of treatment information Description automatically generated Decrease hr and CO If you stop abruptly you will flood the system with nuerohormones and cause heart attacks (pick a pine drug) Non dhp verampil and diltizem they also decrease hr and contractility -- bradycardia Ranolazine -- helps he heart use o2 more efficiently increase intracellular ca Avoid nifepapine IR -- can cause hr  Riciuglat bad Headaches in nitrates means that the drug is working Nitostat- kept in the original amber vial Nitrolingual -- spray Go- nitro powder don't swallow let them dissolve If you use a llong acting nitrate around the clock it will eventually stop working That's why we have a nitrate interval with the patch like 12 on 12 off And bidil Isosorbide mononitrate (don't need a nitrate free period) Nitrobid is an ointment bid nitrate free interval 6 hour intercala