Acute coronary symptons

Question 1

what is teh secon most common cause of death in scotlad

Answer 1

coronary disease

Question 2

what is acute cornary satyer symp

Answer 2

onset of probel relaed to corary hear tat supply hear, leading to ischea, and cell death

Question 3

what are the 5 symptos of mi

Answer 3

icheamecgpostive cardic biomaric (need this)evide o fcoranry portos on angioramevidence of new cardica damge on ather test

Question 4

what reales torponin

Answer 4

cardiomyocytes cell when nages

Question 5

what are th 3 cardica biomarrke

Answer 5

myoglobin, troponin, ckmb

Question 6

which cardica biomarks is gernaly first

Answer 6

myoglo

Question 7

how log des tropon take to fully peak

Answer 7

up to two days

Question 8

what can cuase a rise in triponin

Answer 8

arthymia, pe, cardica contusoin, sepsis , anemai

Question 9

what is a type 1 micoardial injury

Answer 9

type 1 0 spnotatiou mi assoicated withischeam due to a primary coranry event such a sa plaque ruputr

Question 10

what is a type 2 mi

Answer 10

inbalce in oxygen supply and deman, caued by vasospan, suply and demand issues from lugns or a fixed atherocl and a

Question 11

what is a type 3 mi

Answer 11

sudden cardicadeath

Question 12

what is teh precen of acs symptons

Answer 12

pain to neck,armmore disconmra nd weingt/ tignetinnausia, sweating, breathlessness

Question 13

what factso increase risk of mi

Answer 13

maleage, heart diseashigh blood preserhigh cholesdiaberstsmokerfamily history of premature diese

Question 14

what is the key infvesion for an em

Answer 14

ecg, tropon blood test

Question 15

what shows up on an ecg for a mi

Answer 15

st elvation - q waves 3 days laerv - complre coronary artery occlusionpartial coronary artery occuel - st depressoin -t wave inversion - no p wave

Question 16

why may you put ecg on back of chest

Answer 16

to look for psoterior st elevation

Question 17

what is done in the fardica cath lab for an mi

Answer 17

balloons and stens

Question 18

what i an angioplas

Answer 18

stnent

Question 19

what to do if don;t have acess to cardiac cath lab

Answer 19

thrombolysis then transfer as sson as possb

Question 20

what is a risk of thrombisy and when should you not give it

Answer 20

storke or intracerl intercrain bleed - don’t giverecent surgym on warthign severe hypertenbleeding

Question 21

how long a tranport to a cath lab should you give a thrombolysi

Answer 21

greater then 2 hour

Question 22

what is te treatemet for mi other than cathlabq and thrombolys

Answer 22

gtn spary, vasodilator, opitoes - give vasodialtion

Question 23

name of typical thrombolysis

Answer 23

metalyse

Question 24

what re some long therm antiphobic drugs

Answer 24

aspirin, and one of clopidogrel, ticagrelor, prasufrelstatins, ace inhibors

Question 25

what are some anticogaulane drugs for beg bed bound

Answer 25

heparin, fondaprinux, lmwh

Question 26

what is a mycardial rupere

Answer 26

where you bleed into the pericardium, this causes cardiac temponade

Question 27

what mechanicl ocmplication can be caued by an mi

Answer 27

myocardial rupure, papilly musle rupture, acutre septum defect

Question 28

how long are you in ospialr with an mi

Answer 28

2-3 dyas

Question 29

what artery is blocekd in infreior mi

Answer 29

rca

Question 30

what artery is blocekd in posteroir mi

Answer 30

left cirucmflex artery

Question 31

what artyer is blocek in arterio mi

Answer 31

lad

Question 32

causes of raised troponin

Answer 32

myocardial infectino
tachy/ bradyarrhytima
aortic dissecoin
sevre aortic valve disease
severe repiartry failreuw
severe anameia
coraory spasm
heart filaruew
sepis
takotsubo cariomyopaty
stroke
renal falrue
subarachnoid haemorage