Duration of Dual Antiplatelet Therapy in CAD Patients

CARDIOLOGY

**Dual antiplatelet therapy is only indicated in ACS patients after a stent has been placed. If a patient has an ACS and a heart catheterization is done but no stent is placed, that patient doesn’t require dual antiplatelet therapy (DATP).  Patients with ACS but...

Predischarge Checklist and Long-term Post ACS Care

CARDIOLOGY, Pharmacy and Therapeutics

Risk stratification –Stress test if anatomy undefined or residual CAD –Echocardiography to assess left ventricular ejection fraction Cardiac catheterization with coronary angiography is advised for patients at high risk for recurrent MI such as: – Angina induced at...

Chest Pain: Differential Diagnosis

CARDIOLOGY, DDx

Most common: Chest wall pain; GERD; Pleuritic chest pain; Psychosomatic; CAD, PE. Do not miss: ACS, PE, PTX, and other cardiovascular causes. Cardiovascular Acute Coronary Syndrome (ACS) –  STEMI and NSTE-ACS (UA, NSTEMI) Stable Angina (from CAD) Aortic valve...

Coronary Heart Disease Risk Equivalents

CARDIOLOGY

Established heart disease Diabetes Peripheral artery disease Symptomatic Carotid Artery Disease Framingham risk score > 20%

B-type natriuretic peptide (BNP) & NT-proBNP

CARDIOLOGY

B-type natriuretic peptide (BNP) and N-terminal pro b-type natriuretic peptide (NT-proBNP) Is a polypeptide secreted from heat ventricles in response to ventricular volume expansion and pressure overload. The major source of BNP is the cardiac ventricles. Only a...

Atherosclerotic Cardiovascular Disease (ASCVD) Risk Factors

CARDIOLOGY

Nearly all cases of coronary heart disease are caused by atherosclerosis. People with 2 of the risk factors are at high risk of developing CAD. The commonly recognized risk factors for CAD are shown below. Age Gender/sex Race/ethnicity (e.g., South Asian ancestry, is...