The Rate Of Periprocedural Myonecrosis

The Rate Of Periprocedural Myonecrosis
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The Rate Of Periprocedural Myonecrosis
1 Which of the following patient characteristics does
not increase the risk of periprocedural myonecrosis?
(A) Increased arterial inflammation
(B) Aspirin resistance
(C) Use of clopidogrel
(D) Genetic predisposition
(E) None of the above
2 What is the current rate of periprocedural myonecrosis, defined as any elevation above normal in total
creatine kinase (CK) or CK-MB, associated with PCI?
(A) 0% to 15%
(B) 15% to 30%
(C) 31% to 45%
(D) 46% to 60%
(E) >60%
3 In the Evaluation of Platelet IIb/IIIa Inhibition
for Prevention of Ischemic Complication (EPIC)
trial, an increase in mortality was seen with which
of the following magnitudes of periprocedural CK
(A) ≥10 times the normal CK level only
(B) ≥5 times the normal CK level only
(C) ≥3 times the normal CK level only
(D) ≥1 time the normal CK level only
(E) All of the above
(F) None of the above
4 Periprocedural myonecrosis (MI) has prognostic
significance in associationwithwhich of thefollowing
(A) Immediate in-hospital mortality
(B) Short-term (1 year) mortality
(D) A and B
(E) A, B and C
15 Which of the following factors is not associated with
a decreased risk of periprocedural MI?
(A) Clopidogrel therapy
(B) High-pressure stenting
(C) Aspirin therapy
(D) Statin therapy
(E) None of the above
16 Intravascular ultrasound (IVUS) has shown which
of the following to be associated with higher
periprocedural CK elevations?
(A) Plaque burden
(B) Lesion site calcification
(C) IVUS lumen dimension at the lesion site
(D) A and B
(E) A, B and C
17 How does carotid artery stenting with use of an
emboli protection device compare with carotid endarterectomy in high risk patients with severe carotid
artery stenosis?
(A) Carotid artery stenting with EPDs has been
shown to be superior to endarterectomy
(B) Carotid artery stenting with EPDs has been
shown to be inferior to endarterectomy
(C) Carotid artery stenting with EPDs has been
shown be equivalent to endarterectomy
(D) Carotid artery stenting with EPDs has been
shown to be noninferior to endarterectomy
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