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Vascular Disease
 
 

Stable Ischaemic Heart Disease

 
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Pathogenesis

    • Risk Factors for Ischaemic Heart Disease

    • Family history of ischaemic heart disease
    • Advanced age
    • Smoking
    • Hypertension
    • Hyperlipidaemia
    • Diabetes mellitus
    • Physical inactivity
    • Obesity

Manifestations

    • Clinical Features

    • Angina - frequency, onset, management
    • Heart failure symptoms - exertional dyspnoea, orthopnoea, paroxysmal noctural dyspnoea, peripheral oedema
    • Exercise tolerance
    • Complications of Ischaemic Heart Disease

    • Atrioventricular (AV) block
    • Cardiogenic shock
    • Heart failure
    • Valvular pathology - e.g. acute mitral regurgitation
    • Ventricular rupture - septum / ventricular wall
    • Cardiac arrest

Management

    • Management of Stable Ischaemic Heart Disease

    • Non-Pharmacologic

    • Smoking cessation
    • Dietary optimisation
    • Exercise
    • Pharmacologic

    • Antiplatelet - aspirin
    • Manage risk factors - hypertension, hyperlipidaemia, diabetes
    • Surgical Options

    • Surgery - coronary artery bypass graft
 
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