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MSRA Cardio > ACS > Flashcards

ACS Flashcards

1
Q

Right coronary artery supplies the

A

Right atrium and ventricle
Inferior left ventricle
Posterior septal area

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2
Q

Left coronary artery divides into

A

Circumflex artery
left anterior descending artery

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3
Q

Circumflex artery supplies

A

left atrium
posterior left ventricle

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4
Q

Left anterior descending supplies the

A

anterior left ventricle
anterior septum

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5
Q

ECG changes in a STEMI

A

ST segment elevation
New left bundle branch block

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6
Q

ECG changes in an NSTEMI

A

ST segment depression
T wave inversion

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7
Q

Pathological Q waves suggest

A

deep infarction involving the full thickness of the heart

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8
Q

Q waves typically appear

A

6 or more hours after the onset of symptoms

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9
Q

Left coronary artery infarction will show on ECG leads

A

I, aVL, V3-V6

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10
Q

Left anterior descending infarction will show on ECG leads

A

V1-V4

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11
Q

Circumflex artery infarction will show on ECG leads

A

I, aVL, V5-6

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12
Q

Right coronary artery infarction will show on ECG leads

A

II, III and aVF

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13
Q

PCI should be performed in STEMI patients

A

within 2 hours of presenting

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14
Q

Alternative causes for a raised troponin other than an MI

A

CKD, sepsis, myocarditis, aortic dissection, PE

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15
Q

If PCI cannot be performed within 2 hours thrombolytics such as … should be used

A

streptokinase, alteplase, tenecteplase

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16
Q

mnemonic for the management of an NSTEMI

A

BATMAN

17
Q

management of an NSTEMI

A

Base the decision about angiography based of a GRACE score
Aspirin 300mg
Ticagrelor
Morphine
Antithrombin (fondaparinux)
Nitrate

18
Q

What does a GRACE score calculate

A

6 month probability of death after an NSTEMI

19
Q

A GRACE score above… suggests medium to high risk and means patients should be considered for early angiography

A

3%

20
Q

Complications of MI

A

Death
Rupture of the heart septum or papillary muscles
oedema
Arrhythmia
Aneurysm
Dressler’s syndrome

21
Q

Dressler’s syndrome usually occurs

A

2-3 weeks after an MI

22
Q

What is Dressler’s syndrome

A

localised immune response causing pericarditis

MSRA Cardio (8 decks)

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