CCF MI Exam Questions & Answers
2024/2025
ACE Inhibitor
Angiotensin 2 receptor blockers - ANSWERSValsartan
Neprilysin inhibitors - ANSWERSSacubitril
Stops natriuretic peptides breakdown
Aldosterone receptor inhibitor - ANSWERSSpironolactone
Prevents Na and H2O retention= Prevents LV fibrosis and hypertrophy
Keeps K+ and Mg=> prevents arrhythmias
Improves atrial compliance
Beta blockers - ANSWERSAtenolol, carvedilol
Reduce afterload by reducing contractility (resistance to outflow) and by vasodilation
Decreases heart rate= increased diastolic filling time= increases stroke volume to get blood out of heart
Increased blood flow to cardiomyocytes
reduces sympathetic response that activates RAAS (less renin)
Anti-arrhythmic
Diuretics - ANSWERSIncrease fluid excretion
Furosemide= stops reabsorption of Na and water in thick ascending LOOP of Henle, hyponatraemia dn
hypokalaemia
Thiazides= PCT
Management of AMI - ANSWERSOxygen
Antiplatelet adhesion (aspirin or clopidogrel)
2024/2025
ACE Inhibitor
Angiotensin 2 receptor blockers - ANSWERSValsartan
Neprilysin inhibitors - ANSWERSSacubitril
Stops natriuretic peptides breakdown
Aldosterone receptor inhibitor - ANSWERSSpironolactone
Prevents Na and H2O retention= Prevents LV fibrosis and hypertrophy
Keeps K+ and Mg=> prevents arrhythmias
Improves atrial compliance
Beta blockers - ANSWERSAtenolol, carvedilol
Reduce afterload by reducing contractility (resistance to outflow) and by vasodilation
Decreases heart rate= increased diastolic filling time= increases stroke volume to get blood out of heart
Increased blood flow to cardiomyocytes
reduces sympathetic response that activates RAAS (less renin)
Anti-arrhythmic
Diuretics - ANSWERSIncrease fluid excretion
Furosemide= stops reabsorption of Na and water in thick ascending LOOP of Henle, hyponatraemia dn
hypokalaemia
Thiazides= PCT
Management of AMI - ANSWERSOxygen
Antiplatelet adhesion (aspirin or clopidogrel)
