acs

Question 1

anterior wall MI

Answer 1

LAD (left anterior descending) vessel, and left ventricle

Question 2

inferior wall MI

Answer 2

RCA (right coronary artery) and right ventricle

Question 3

posterior wall MI

Answer 3

LCx (left circumflex) or RCA vessel

Question 4

type 1 MI

Answer 4

spontaneous MI (plaque rupture w/ thrombosis)

Question 5

type 2 MI

Answer 5

MI secondary to ischemic imbalance (oxygen supply vs demand)

Question 6

type 3 MI

Answer 6

MI resulting in death when biomarker values are unavailable (sudden cardiac death)

Question 7

type 4a MI

Answer 7

MI related to PCI < 48 hours after (troponin rise as a complication of coronary intervention)

Question 8

type 4b MI

Answer 8

MI related to stent thrombosis (clot forms within stent)

Question 9

type 4c MI

Answer 9

MI related to stent restenosis (re-narrowing within stent)

Question 10

type 5 MI

Answer 10

MI related to CABG <48 hours after (troponin rise as a complication of bypass surgery)

Question 11

which enzymes are cardiac specific

Answer 11

CK-MB, troponin

Question 12

troponin elevation

Answer 12

rises in 3-6 hours, lasts 10-14 days

Question 13

CK-MB elevation

Answer 13

rises in 3-4 hours, lasts 24-36 hours

Question 14

CK elevation

Answer 14

rises in 4-8 hours, lasts 36-48 hours

Question 15

myoglobin elevation

Answer 15

rises in 1-3 hours, lasts 12-24 hours

Question 16

when do aldosterone antagonists have benefits in ACS

Answer 16

post-MI w/ LV systolic dysfunction (EF<40%) and CHF or DM

Question 17

how do aldosterone antagonists benefit ACS

Answer 17

decrease mortality and morbidity, remodeling, arrhythmias