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Ischemic heart disease

Ischemic Heart Disease — Internal Medicine

How it begins

Ischemic heart disease (IHD) represents the set of clinical syndromes derived from an imbalance between the supply and demand of oxygen to the myocardium, predominantly caused by atherosclerotic obstruction of the coronary arteries.

What it covers

  1. Definition and Epidemiology
  2. · Definition and Fundamental Concepts
  3. · Global and Regional Epidemiology
  4. Coronary Atherosclerosis: Pathogenesis
  5. · Atherosclerotic Plaque Formation: Atherogenesis
  6. · Plaque Rupture, Erosion and Coronary Thrombosis
  7. Cardiovascular Risk Factors
  8. · Classification and Hierarchy of FRCV
  9. · Family Hypercholesterolemia (FH)
  10. · Diabetes Mellitus and Cardiovascular Risk
  11. Pathophysiology of Myocardial Ischemia
  12. · Oxygen Supply-Demand Balance
  13. · The Ischemic Cascade
  14. · Mechanisms of Cellular Damage due to Ischemia
  15. Clinical Classification of Ischemic Heart Disease
  16. · Chronic Stable Angina (Chronic Coronary Syndrome)
  17. · Acute Coronary Syndromes without ST Elevation (NSTEACS)
  18. · Acute ST Elevation Myocardial Infarction (STEMI)
  19. Diagnosis
  20. · Clinical Evaluation and History
  21. · Electrocardiogram (ECG)
  22. · Biomarkers of Myocardial Necrosis
  23. · Imaging Techniques
  24. · Invasive coronary angiography
  25. Risk Stratification and Clinical Scores
  26. · TIMI score for NSTE-ACS
  27. · GRACE score for ACS
  28. · Killip-Kimball classification
  29. Treatment
  30. · Pharmacological Treatment of ACS
  31. · Percutaneous Coronary Intervention (PCI)
  32. · Coronary Revascularization Surgery (CABG)
  33. AMI complications
  34. · Mechanical Complications
  35. · Electrical Complications
  36. · Cardiogenic Shock
  37. Cardiac Prevention and Rehabilitation
  38. · Secondary Prevention — Fundamental Pillars
  39. · Cardiac Rehabilitation (CR)
  40. · Implantable Automatic Defibrillator (ICD) in Post-AMI
  41. Clinical Pearls and Integration Cases
  42. · High Performance Clinical Pearls
  43. · Differential Diagnosis Table of Acute Chest Pain
  44. · Summary of Therapeutic Objectives in Secondary Prevention

The complete study guide is in the app

This page summarizes the outline. The full interactive study guide —with high-yield diagrams, clinical tables, and board review cases— can be read inside Epistemis, completely offline and ad-free.

Subject
Internal Medicine
Category
Clinical Specialties
Type
Study Guide
Sections
44
Reviewed
2026-08-02
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