Acute coronary syndrome Flashcards
indications for CABG?
3 vessel dz, left main, 2 vessel plus DM
how long DAPT after DES?
1 year
3 drugs that decrease mortality in ischmeic CM?
ACE, BB, statin
who should not get BB?
concern oin asthmatics
irreversible P2y12 inhibitors?
clopidogrel and ticagrelor
brillinta versus clopidogrel
mortality benefit with brillinta
prasugral other name?
effient
MOa of prasugral?
reversible inhibition of P2y12
concern with prasugrel?
more bleeding, contraindication in CVA hx
when to use thrombolysis in ACS?
within 12 hours of CP onset
if patient with high TIMI risk score or going to cath lab give what? and what is mechanism?
eptifibatide(integrillin), 2bIIIa inhibitor
LAD lesion EKG?
V1-V4
inferior MI affected by what vessel? what EKG findings?
RCA, II, III, AVF
posterolateral MI what vessel, EKG findings?
left circ, I, II, III AVL
patient with history of Raynauds an migrianes with chest pain
prinzmetal angina
tx prinzmetal?
CCB, smoking cessation
2-3 months post MI, diffuse STE, pericardial rub?
Dresslers syndrome
MOA dresslers?
immune mediated damage to pericardium
papillary muscle rupture signs?
pulmonary edema with systolic murmur at apex causing acute MR
timing of papillary muscle rupture post MI?
3-5d
test of choice to determine reinfarction?
CK Mb because shorter time to noramalization
ventircular aneurysm post MI signs?
persistent STE, deep Q waves
timing on ventricular aneurysm?
5d-3 months
LV free wall rupture timing?
3-14 d psot MI
