18. Investigation And Management Of ACS Flashcards
1
Q
How do you tell the location of infarct from ECG?
A
Septal: V1 and V2 Anterior: V1-V6 Lateral: V5 and V6 Anteroseptal: V1-V4 Anterolateral: V3-V6 Inferior: II, III, aVF High lateral: I, aVL
2
Q
What blood tests for non-STEMI?
A
Haemoglobin - consider antiplatelets Renal function Cholesterol HBA1C Troponin
3
Q
Why is troponin measured?
A
Typically raised within 3 hours of cardiac damage, peaks at 24-48 hours, remains elevated 2+ weeks
4
Q
What is the management for STEMI?
A
Aspirin Ticagrelor Morphine with metoclopramide Nitrate if SBP>110mmHg Oxygen if stats <92% Direct transfer to cardiac catheter labs for PCI
5
Q
What is the management for non-STEMI?
A
Antiplatelets - aspirin, clopidogrel/ticagrelor, enoxaparin
Anti-ischaemics - bisopolol, GTN infusion
Secondary prevention - statin, ACE inhibitors
