ACS Flashcards
1
Q
What is the criteria for stable Angina?
A
Constricting chest (possible radiation to arm, jaw), on exertion + relieved by GTN within 5 min.
2
Q
What is an MI?
A
Myocardial cell death > troponin release
3
Q
What is the criteria for unstable angina?
A
Only covers 2 or less of 3
4
Q
ACS Diagnostic Pathway
A
1) ECG
2) History + Examination
3) Bedside - Troponin, FBC, U+Es, lipids, enzymes
5
Q
Management of STEMI?
A
1) PCI (urgent intervention)
2) post-MI medication
3) Lifestyle modification
6
Q
Drug management post MI
A
Aspirin (Life), Other anti-platelet (12 months), Statin, ACEi + β-blocker
7
Q
Necrotic complications post MI?
A
Mitral Regurgitation (papillary muscles), Pericarditis (inflammation), Cardiac Tamponade (ventricular rupture) Ventricular septal defect (septal rupture)
8
Q
Complications from Electrical instabilities?
A
Arrhythmias
9
Q
Complications from reduced contractility?
A
Stroke (thrombus), Cardiogenic shock (ischaemia), hypotension
