ACS

Question 1

Patho

Answer 1

Progressive atherosclerosis with plaque rupture causing blood clot formation leading to an imbalance of O2 supply and demand

Question 2

Troponin 1

Answer 2

• elevated in 3-6 hours
• peaks in 14-20 hours
  -returns to normal in 1-2 weeks
  ->0.4 is elevated

Question 3

Most specific bio marker for ACS

Answer 3

Troponin

Question 4

Chest pain assessment

Answer 4

O nset
L ocation
D urarion

C haracteristics
A ssociated s/s
R elieving factors
T reatment

Question 5

Symptoms of chest pain in women

Answer 5

**SOB
-indigestion, back pain, fatigue

Question 6

Lavine sign

Answer 6

Mid sternal pain from left arm to left jaw

Question 7

Stable angina

Answer 7

Exertions symptoms cease when exertion stops

• may have fixed vessel stenosis with demand ischemia

Question 8

Unstable angina

Answer 8

Increasing frequency time & duration

-precursor for MI

Question 9

Variant (Prinzmetals) angina

Answer 9

Sudden pain caused from coronary artery spasm

• get 12 lead with and without symptoms…. Will only see ECG changes with pain and symptoms
• treatment = nitroglycerin and calcium channel blockers to relieve spasm

Question 10

Hallmark sign of NSTEMI

Answer 10

Pain with increased frequency, heaviness, or pressure

• may occur at rest and last > 20 min

Question 11

What do you see diagnostically with NSTEMI

Answer 11

ST depression or t wave inversion on 12 lead

Elevated biomarkers

Question 12

What causes NSTEMI

Answer 12

PARTIAL occlusion of coronary artery

Question 13

Treatment of NSTEMI

Answer 13

-PCI
-Anticoags