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    Demand Ischemia: Not A Total Occlusion, So If You

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    Maryam Fadah
    The document discusses different levels of coronary artery disease (CAD) on a spectrum from asymptomatic to ST-elevation myocardial infarction (STEMI). It notes that demand ischemia occurs when there is not a total occlusion, so decreasing heart workload can reduce oxygen demand and allow sufficient perfusion to reverse damage. Ischemia supply occurs when there is no blood supply to the heart regardless of demand. STEMI represents the highest acuity form of CAD and results in some heart damage, while unstable angina (UA) requires hospital admission.

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    Demand Ischemia: Not A Total Occlusion, So If You

    Uploaded by

    Maryam Fadah
    26 views1 page
    The document discusses different levels of coronary artery disease (CAD) on a spectrum from asymptomatic to ST-elevation myocardial infarction (STEMI). It notes that demand ischemia occurs when there is not a total occlusion, so decreasing heart workload can reduce oxygen demand and allow sufficient perfusion to reverse damage. Ischemia supply occurs when there is no blood supply to the heart regardless of demand. STEMI represents the highest acuity form of CAD and results in some heart damage, while unstable angina (UA) requires hospital admission.

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    summary

    Original Title

    Spectrum of CAD

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    The document discusses different levels of coronary artery disease (CAD) on a spectrum from asymptomatic to ST-elevation myocardial infarction (STEMI). It notes that demand ischemia occurs when there is not a total occlusion, so decreasing heart workload can reduce oxygen demand and allow sufficient perfusion to reverse damage. Ischemia supply occurs when there is no blood supply to the heart regardless of demand. STEMI represents the highest acuity form of CAD and results in some heart damage, while unstable angina (UA) requires hospital admission.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    26 views1 page

    Demand Ischemia: Not A Total Occlusion, So If You

    Uploaded by

    Maryam Fadah
    The document discusses different levels of coronary artery disease (CAD) on a spectrum from asymptomatic to ST-elevation myocardial infarction (STEMI). It notes that demand ischemia occurs when there is not a total occlusion, so decreasing heart workload can reduce oxygen demand and allow sufficient perfusion to reverse damage. Ischemia supply occurs when there is no blood supply to the heart regardless of demand. STEMI represents the highest acuity form of CAD and results in some heart damage, while unstable angina (UA) requires hospital admission.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 1

    Demand ischemia: Not a total occlusion, so if you

    decrease the heart workload, the O2 demand will go


    down and the little going perfusion will be sufficient
    No ischemia (0) to reverse the damage.
    ACS spectrum
    Spectrum of CAD Asymptomatic CAD SA UA NSTEMI STEMI
    Pain ✖ ✓At exertion ✓Even at rest ✓Even at rest ✓Even at rest
    Relived ✖ ✖ ✖ ✖ ✖
    Biomarkers ✖ ✖ ✖  
    St changes ✖ ✖ ✖ ✖ 
    Percent occlusion >50%* 70% 90% 90% 100%
    * Don’t stent non occlusive CAD
    NSTEMI & STEMI = heart attack (MI) .
    Ischemia supply: no matter
    STEMI is the highest acuity of CAD
    what, the heart will die cause no
    It becomes MI when any/some heart damage occurs.
    blood supply is going to the
    UA requires hospital admission, while SA and Asymp CAD is dealt with in clinic then the patient can
    heart.
    go home, however distinguishing between SA and UA is hard therefore we submit the patient
    anyways.

    History
    Substernal/left sided chest pain
    Worsened with exertion
    Relived with Nitroglycerin

    Scoring:
    3/3 = Typical Angina
    2/3 = Atypical angina
    1/3 = non anginal

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