Ischemic HeartECG General description with Basic idea of 12 Leads with Positions On Body. Read more ... » DiseaseSepsis (Septic Shock) Clinical Manifestation Complications with Laboratory Findings. Read more ... » Physical Examination Lab ExaminationHow to take good medical history & examination. Read more ... » and Family history of premature IHDIschemic Heart Disease (IHD) Causes and Risk factors for Ischemic Heart Disease. Read more ... »
- Unstable angina is angina pectoris with typical character of pain but certain atypical features like:
- It occurs at rest and lasts more than 10 minutes .2/. It is of new onset within the past 6 wks.
- It is more severe, prolonged and more frequent with a crescendo pattern.
- Ischemic cardiomyopathy is cardiomegaly and heart failureHeart Failure Treatment Heart Failure GENERAL PRINCIPLES. Read more ... » secondary to ischemic heart disease, ie is~hemic damage of left ventricular myocardium withCiLifany symptoms of ischemia.
MicrovascularChronic Long-term Complications Of Diabetes Mellitus. Read more ... » Angina Ischemic Heart Disease
- Epicardial coronary arteries are conductance vessels. The main conductance vessels are the left main which divides into the left anterior descending and the left circumflex arteries, and the right coronary artery.
- Intramyocardial arterioles are resistance vessels.
- Abnormal constriction of resistance vessels results in microvascular angina.
Family history of premature IHD
- is defined as IHO at less than 45 years in male relative (blood relation) and less than 55 years in female relative.
- History of diabetes, hyperlipidemia, hypertensionGREEN TEA Health Benefits. Read more ... », cigarette smoking is significant.
Physical Examination Ischemic Heart Disease
- Often there are no findings.
- There may be – xanthomas (hypo-pigmented scars on medial side of upper eyelid-s), diabetic skin lesions, anaemia,-thyroidGrave's disease Causes and Treatment. Read more ... » diseases, signsSepsis (Septic Shock) Clinical Manifestation Complications with Laboratory Findings. Read more ... » of ggarette smok-
- !ng ~ dark lips and fingers
- Thickened arteries
- Absent or feeble pulses Cardiomegaly
- LV Akinesia or Dyskinesia
- Fundus examination – AV nicking, increased light reflex, haemorrhages and exudates
- arterial bruits suggestive of atherosclerosisAcute Myocardial Infarction (AMI) Causes PATHOPHYSIOLOGY and Etiology. Read more ... »
Physical findings at the time of angina
- Transient LVF
- S3′ S4′
- Apical dyskinesia
- Pulmonary edemaPulmonary Edema Causes Diagnosis with Treatment. Read more ... ».
Lab Examination Ischemic Heart Disease
- Urine – for Diabetes and RenalDiabetic Nephropathy and Renal complications of DM (Diabetes Mellitus). Read more ... » disease Lipid profile – TC, TG, LDL, HDL
- GlucoseSome Facts about Glucocorticoid & Major side effects. Read more ... », Creatinine and Hematocrit Thyroid function.
Chest X-ray -
- LVH, LVF, Pulmonary edema, Ventricular aneurysm.
- shows -changes in only 50% of angina patients.
- ST-T – changes suggestive of angina are common to many diseases.
- Changes related to angina may appear only at the time of angina.
- ST segment is depressed in angina but elevated in MI and Prinzmetal angina.