1. Step 9
1.1. Review session 2
1.2. mechanism flow chart
1.2.1. tropionin should be high in MI, higher than the cut off value
1.2.2. serial ECG and markers are done
1.3. 20 minutes
2. Step 10
2.1. Management
2.1.1. pharmacological
2.1.1.1. IHD
2.1.1.1.1. B-blockers
2.1.1.1.2. calcium channel blockers
2.1.1.1.3. nitrates
2.1.1.1.4. ivapridine
2.1.1.1.5. anti-cagulation
2.1.1.1.6. anti-platelet
2.1.1.1.7. statin may be given to reduce the LDL and to prevent rupture of plaque
2.1.1.2. PAD
2.1.1.2.1. acute is divided into 3 categories
2.1.1.2.2. chronic
2.1.2. non-pharmacological
2.1.2.1. IHD
2.1.2.1.1. risk factor modification
2.1.2.1.2. surgery
2.1.2.1.3. educations and counseling in follow ups
2.1.2.2. PAD
2.1.3. goals of treatment
2.1.3.1. stabilization of patient
2.1.3.1.1. improve survival
2.1.3.2. symptoms relieve
2.1.3.3. preventing further ischemic incidence
2.1.3.4. restore function
2.1.3.5. modify risk factors
2.2. Prevention
2.2.1. diet modifications
2.2.2. manage metabolic syndrome
2.2.3. educate about smoking
2.2.4. ideal BMI, BP and LDL level
2.2.5. educate about exercise
2.2.6. aspirin is given as secondary prevention