ACS Flashcards
1
Q
Early invasive if
Grace
A
> 140
2
Q
Immediate for NSTEMI if:
A
Refractory angina
HD or electrical instability
Very high risk score
3
Q
Need to know coronary anatomy before giving…
A
Prasugrel
4
Q
Fondaparinux can be given if…
A
Ischemia guided strategy, no planned PCI
5
Q
VSD vs Pap mm rupture vs RV infarct presentation
A
VSD - harsh murmur, 50% anterior MI, patient lies supine, without pulmonary congestion
Pap - flash pulm edema, can have soft murmur
RV infarct - hypotension, clear lungs, increased JVP
6
Q
Shock trial showed
A
Mortality benefit to PCI or CABG compared to Med rx for MI and cardiogenic shock, esp for those <75 yo
7
Q
ICD indication after MI
A
Sustained VT or VF AFTER 48 hrs post PCI or reperfusion
