06-Akuta-k-s

Question 1

(06) Lennart N (1/20)
STEMI?

Answer 1

(AP) ++(cTnT) (PE ST-H)
(TOTAL OCKLUSION)
(T-M) (MÖJLIG Q-VÅG)

Question 2

(06) Lennart N (2/20)
NSTEMI?

Answer 2

(AP) +(cTnT) (ST-S)
(T-N) (PLACK) (S-D M)
(S-E-K) (INGEN Q-VÅG)

Question 3

(06) Lennart N (3/20)
UA?

Answer 3

(AP) -(cTnT) (ST-S)
(T-N) (PLACK) (S-D M)
(ISCH) (INGEN Q-VÅG)

Question 4

(06) Lennart N (4/20)
RCA? LMCA? LAD? LCx?

Answer 4

(RCA:INFERIOR) (PDA)
(LMCA) (LAD:SEPT/ANTE)
(LCx:LATERAL) (RI)

Question 5

(06) Lennart N (5/20)
Patofysiologi? ACS?

Answer 5

(TROMBOSBILDNING)
(IRA) (CULPRIT LESION)
(<50%) (>0,80) (MINOCA)

Question 6

(06) Lennart N (6/20)
Farliga plack?

Answer 6

(MORFO:INS/STA) (AAR)
(STEMI:60% RU/30% ER)
(NSTEMI:48% ER/38% RU)

Question 7

(06) Lennart N (7/20)
Hjärtinfarkt? Typ 1/2?

Answer 7

(RUPTURE/EROSION)
(ASC/S-D M) (SVP/MVD)
(NACD:TRA/G-F/BIN/INFL)

Question 8

(06) Lennart N (8/20)
Patofys? Myokardiet?

Answer 8

(PREKONDITIONERING)
(PREINFARKT ANGINA)
(DURATION>20 MIN)

Question 9

(06) Lennart N (9/20)
Reperfusionsskada?

Answer 9

-(O2) -(ATP) -(NADPH)
-(pH) (MCU) (H/Ca) (MPTP)
(PDH/ICDH/A-KGDH/CYT)

Question 10

(06) Lennart N (10/20)
Symtom vid ACS?

Answer 10

(INGA) (HJÄRTSTOPP)
(AP) (UTSTRÅLNING)
(DYSPNE) (DIFFUST)

Question 11

(06) Lennart N (11/20)
EKG persisterande ST-H?

Answer 11

(>20 MIN ST-H)
(2 AVDELNINGAR I FÖLJD)
(ST-S:V1-V3) (ST-H:V7-V9)

Question 12

(06) Lennart N (12/20)
EKG utan ihållande ST-H?

Answer 12

(ST-S) (ST:HO/NEDÅT)
(T-VÅG:HO/NEDÅT/INV)
(STRÄCKA) (<20 MIN ST-H)

Question 13

(06) Lennart N (13/20)
Myokardskademarkörer?

Answer 13

(MYOGLOBIN)
(TROPONIN T/I)
(KREATINKINAS-MB)

Question 14

(06) Lennart N (14/20)
Diagnos akut hjärtinfarkt?

Answer 14

(cTnT/cTnI > 99%)
(SYM/EKG/Q/BILD)
(TYP 1 ELLER TYP 2)

Question 15

(06) Lennart N (15/20)
Diagnos instabil angina?

Answer 15

(cTnT/cTnI: NORMALT)
(INTERMITTENT ISCHEMI)
(ANAMNES) (CRESCENDO)

Question 16

(06) Lennart N (16/20)
Misstänkt STE-ACS?

Answer 16

(ACS-SYMTOM) (EKG)
(ASA/P2Y12-I/MOR/NTG)
(AKUT CAG) (AKUT PCI)

Question 17

(06) Lennart N (17/20)
Misstänkt NSTE-ACS?

Answer 17

(ACS-SYMTOM) (EKG)
(ASA/P2Y12-I/MOR/NTG)
(HIA) (CAG) (PCI/CABG)

Question 18

(06) Lennart N (18/20)
ACS inneliggande vård?

Answer 18

(RISK) (DIA/BEH) (OMT)
(REH) (cTnT/cTnI) (LIPID)
(EKG) (ECHO:TTE) (CMR)

Question 19

(06) Lennart N (19/20)
ACS komplikationer?

Answer 19

-(KONTRAKTION)
-(VÄVNAD) -(EKG)
(INFLAMMATION)

Question 20

(06) Lennart N (20/20)
ACS läkemedel?

Answer 20

(APLT:ASA/P2Y12-I)
(AC) (BC) (ACEI/ARB)
(NT) (CCB) (STAT) (NRT)