ACS Flashcards
What’s the difference between
Stable and unstable angina
Stable - symptoms will decrease at rest
Unstable - symptoms will occur at rest or at minimum exertion
What are the 4 main categories of ACS
Stable angina
Unstable angina
STEMI (ST elevation)
Nstemi
STEMI patho
A full exclusion of the coronary arteries
ECG characters of STEMI
new ST segment elevation at the J point in at least two contiguous leads of ≥ 2 mm (0.2 mV) in men or ≥ 1.5 mm (0.15 mV) in women in leads V2-V3 and/or of ≥ 1 mm (0.1 mV) in other contiguous chest leads or the limb leads.”
ACS patho
Ischemia of the myocardium. Due to reduced or blocked blood flow to the heart caused by arthrosolotic plack build up and blood clot formation which causes a narrowing and blockage in the coronary artery . Leading to a group of conditions
UNSTABLE ANGINA
NSTEMI
STEMI
Why do ACS occurs
They occurs when the oxygen demand of the myocardium can not be meet by the circulatory system leading to ischemia of the myocardium
What is artherosclerosis
Atherosclerosis is thickening or hardening of the arteries caused by a buildup of plaque in the inner lining of an artery.
What happens when there is a disruption of arthrosclerois plaque in the arteries
Supply and flow of oxygen can become blocked due to clot formation formed by ruptured plaque
Questions to ask to diagnose ACS
Dolors
Duration?
Are you,
Dissy
Cold sweats
Fatigued
SOB
Nausea
Indigestion
Risk factors questions?
Smoker
Diabetic
High cholesterol
Hypertension
Hx of heart disease
Family Hx of ACS