ACS Flashcards
What is ACS?
Acute coronary syndrome
What comes under ACS?
Unstable angina
STEMI
NSTEMI
What are risk factors of ACS?
Age Male Family history IHD Smoking Hypertension
HOe is ACS diagnosed?
2 out of 3
- Typical history
- ECG changes
- Cardiac enzyme rise
What are the symptoms of ACS?
Central/left sided chest pain Heavy/tight pain Dysponea Sweating Tachycardia N+V
What is the immediate management of ACS?
MONA
Morphine
Oxygen
Nitrates
Aspirin - 300mg
What investigations do you do for ACS?
Bloods
- FBC
- U+Es
- troponin
- CK
ECG
CXR
When does troponin peak?
6 hours from pain
How do you manage a STEMI?
Aspirin + clopidogrel
LMWH
PCI - ideally within 90 mins
If PCI not available - tPA
- tenecteplase
- alteplase
- streptokinase
How do you manage an NSTEMI?
300mg aspirin
GP IIb/IIIa receptor antagonist - clopidogrel
Coronary angiography
What is secondary prevention of ACS?
Aspirin Clopidogrel B-blocker ACEi Statin
What is Dressler’s syndrome?
Autoimmune condition that occurs 2 weeks after MI
What are the symptoms of Dressler’s syndrome?
Sharp chest pain - relieved by leaning forward
Fever
Raised ESR
How is Dressler’s syndrome managed?
NSAIDs
Cultrasine
