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Cardiology > ACS > Flashcards

ACS Flashcards

1
Q

Non-modifiable risk factor for ACS

A

Age, male, FH

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2
Q

Non-modifiable risk factor for ACS

A

Age, male, FH

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3
Q

Modifiable risk factors for ACS

A

HTN, DM, high cholesterol, obesity, smoking

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4
Q

Types of angina

A

Stable, unstable
Decubitis (lying down)
Prinzmetal’s variant (coronary spasm)
Syndrome X - no evidence of atherosclerosis

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5
Q

Low likelihood of CAD Ix

A

CT calcium scoring

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6
Q

High likelihood of CAD Ix

A

Coronary angiography

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7
Q

30-60% likelihood of CAD Ix

A

Functional imaging:
Stress echo
Myocardial perfusion scan + SPECT, MRI for wall motion abnormalities

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8
Q

Prevention cardiovascular event

A

Aspirin, statins

Antihypertensive - ACE I

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9
Q

Anti-anginal medication

A

GTN +
1. Beta blocker
2. Ca blocker (rate control - verapamil)
If not controlled then: 1 or 2 + dihydropyridine

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10
Q

Anti-anginal medication if still not controlled

A

Ivabradine
Nicorandil
Ranolazine

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11
Q

STEMI acute management

A

MONARCH

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12
Q

Gold standard reperfusion for STEMI

A

Primary PCI

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13
Q

Perform PCI within how many hours

A

12

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14
Q

Thrombolysis CI after how many hours

A

24h

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15
Q

Modifiable risk factors for ACS

A

HTN, DM, high cholesterol, obesity, smoking

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16
Q

Types of angina

A

Stable, unstable
Decubitis (lying down)
Prinzmetal’s variant (coronary spasm)
Syndrome X - no evidence of atherosclerosis

17
Q

Low likelihood of CAD Ix

A

CT calcium scoring

18
Q

High likelihood of CAD Ix

A

Coronary angiography

19
Q

30-60% likelihood of CAD Ix

A

Functional imaging:
Stress echo
Myocardial perfusion scan + SPECT, MRI for wall motion abnormalities

20
Q

Prevention cardiovascular event

A

Aspirin, statins

Antihypertensive - ACE I

21
Q

Anti-anginal medication

A

GTN +
1. Beta blocker
2. Ca blocker (rate control - verapamil)
If not controlled then: 1 or 2 + dihydropyridine

22
Q

Anti-anginal medication if still not controlled

A

Ivabradine
Nicorandil
Ranolazine

23
Q

STEMI acute management

A

MONARCH

24
Q

Gold standard reperfusion for STEMI

A

Primary PCI

25
Q

Perform PCI within how many hours

A

Less 12h

26
Q

Thrombolysis CI after how many hours

A

24h

27
Q

Thrombolysis agents

A

Streptokinase, altekinase, tenecteplase

28
Q

Continuing therapy post-MI

A

ACE I, B blocker, cardiac rehab, statin

29
Q

How long before can drive and work post MI

A

1 and 2 months respectively

30
Q

NSTEMI acute management

A

MONARCH + GRACE/TIMI

31
Q

High risk following TIMI/GRACE

A

GPIIb/IIIa antagonist (tirofiban)
Angiography + PCI
Clopidogel 75mg one year

32
Q

Low risk following TIMI/GRACE

A

Continuing therapy post MI

33
Q

Post MI complications

A 
DARTH VADER
Death 
Arrythmia 
Ruptured myocardium
Thrombus 
Heart failure 
Ventricular aneurysm 
Another MI 
Dresslers (2-10 weeks post)
Emboli 
Regurgitant murmur (MR)

Cardiology (6 decks)

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