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10613594
Mr Mohamed passing a hard time
Description
Mind Map on Mr Mohamed passing a hard time, created by Salma MK on 29/09/2017.
Mind Map by
Salma MK
, updated more than 1 year ago
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Created by
Salma MK
about 7 years ago
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Resource summary
Mr Mohamed passing a hard time
acute plaque changes
haemorrhage
thrombus formation over plaque
Pathogenesis of thrombos
virchow's triad
abnormal blood flow
turbulent flow
aneurysms
stasis
long flights
bed ridden patients
hypercoagulable state
primary
factor V leiden
prothrombin mutations
DIC
oral contraceptives
endothelial dysfunction
hypertension
atherosclerosis
smoking
increased homocysteine
Ischemic Heart Disease
types
angina
stable angina
pain during exertion
relieved by GTN or rest
ST segment depression
more than 70% stenosis of coronary artery
unstable angina
pain during rest and exertion
not relieved by nitroglycerine
ST segment depression
subendocardial ischemia
due to non occlusive thrombus formation on plaque
prinzmetal angina
spasm of coronary artery
ST segment elevation
treatment
atenolol
B-blocker
Isosorbide dinitrate
nitrates
Aspirin
Glyceryl trinitrate (GTN)
vasodilators.
myocardial infarction
types
STEMI
100% stenosis
transmural infarction
NSTEMI
incomplete occlusion
subendocardial infarction
Causes
atherosclerotic vascular disease
vasospasm
vasculitis
thromboembolism
signs and symptoms
dyspnea
chest pain
diaphoresis
cardiac referred pain
common sites
neck, jaws, shoulders, arms, and stomach
areas of the body surface which send sensory impulses to the same levels of the spinal cord that receive cardiac sensation
cold sweats
Investigations
ECG
blood tests
Lipid profile.
Cardiac biomarkers
Complications
<4 h
cardiogenic shock
CHF
4-24 h
arrhythmias
months
dessler's syndrome
ventricular aneurysm
mural thrombus
1-3 D
fibrinous pericarditis
4-7 D
rupture of ventricular free wall
rupture of papillary muscle
shocks
cardiogenic shock
low blood perfusion to tissues resulting in cellular injury and inadequate tissue function
signs
Anxiety
Distended jugular veins
Cool, clammy and mottled skin
types
epidemilogy
one of four deaths are attributed to heart attacks
risk factors
Age
Diabetes
Smoking
Family history
First concern are first and second degree relatives.
Hypertension
physical examination
Jugular Venous Pressure (JVP)
causes of high JVP
Heart failure.
Constrictive pericarditis
Management of IHD
acute setting of MI
STEMI
Aspirin
Morphine
oxygen supplementation
Reperfusion
angioplasty
done after doing angiography
opens blocked arteries and restores normal blood flow
thrombolytics
re-establish perfusion following occlusion of an artery by thrombus
MOA
activate plasminogen
Contraindications
cerebral vascular lesion
Suspected aortic dissection
side effects
bleeding
drugs
streptokinase
obtained fromStreptococci
alteplase
Obtained by recombinant DNA technology
NSTEMI
antithrombotics
ACE inhibitors
nitrates
B-blockers
antianginal drugs
nitrates
B blockers
CCBs
for Variant angina
Lifestyle modification
diet
smoking cessation
physical activity
alcohol intake reduction
weight management
retrosternal pain
Gastrointestinal problems
respiratory problems
cardiac problems
causes of non compliance
complicated regimens
adverse events of medications
Literacy
poor doctor-patient relationship
support groups
Members with the same issues can come together for sharing coping strategies,
Media attachments
Screen Shot 2017 09 29 At 4.28.51 Pm (binary/octet-stream)
Screen Shot 2017 09 29 At 4.29.10 Pm (binary/octet-stream)
Screen Shot 2017 09 29 At 4.29.21 Pm (binary/octet-stream)
4 (binary/octet-stream)
Slide 26 (binary/octet-stream)
Picture1 (binary/octet-stream)
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