3. Acute Coronary Syndromes Tutorial

Question 1

CVD primary prevention

Answer 1

Modifying risk factors

Question 2

CVD secondary prevention

Answer 2

Primary prevention and medical intervention

Question 3

Nicorandil use (3)

Answer 3

Potassium channel activator
Widens coronary arteries and increases blood flow to heart
Used by patients who can’t take Ca-channel blockers

Question 4

STEMI definition

Answer 4

ST segment elevation MI

Question 5

NSTEMI definition

Answer 5

Non-ST segment elevation MI

Question 6

ACS symptoms (10)

Answer 6

Chest pain (aching, pressure, tightness, burning)
Pain radiating from chest to shoulders, arms, upper abdomen, back, neck or jaw
Nausea
Vomiting
Indigestion
SoB (dyspnoea)
Sudden, heavy sweating (diaphoresis)
Light headedness, dizziness, fainting
Unusual fatigue
Restlessness

Question 7

Dental implications of aspirin (anti-platelets)

Answer 7

Post-extraction bleeding

Question 8

Dental implications of NSAIDs

Answer 8

Mucosal damage

Question 9

Dental implications of anticoagulants (2)

Answer 9

NSAIDs contraindicated

Avoid warfarin, metronidazole, tetracycline, macrolide derivatives when managing odontogenic and periodontal infections

Question 10

Dental implications of Ca-channel blockers (2)

Answer 10

Gingival hyperplasia (false pocketing)
Lichenoid reactions (change to carcinoma over time)

Question 11

Dental implications of nicorandil

Answer 11

Oral ulceration

Question 12

Dental implications of diuretics/B-blockers/polyparmacy

Answer 12

Xerostomia

Increased risk of dental decay