Acute Coronary Syndrome Flashcards
Name 5 modifiable risk factors for acute coronary syndrome?
Smoking
Diabetes
High BP
Hypercholesterolaemia
Obesity
Which two tests should be used for acs?
ECG
Troponin
How should you initially manage ACS?
MONA
Morphine
Oxygen if <94%
Nitrates
Aspirin
How should you manage STEMI?
Antiplatelet eg Clopidogrel, Prausgrel and Ticagrelor
PCI within 2 hours
If using a PCI for Stemi and your patient has taken oral anticoagulants what medication should you prescribe?
Clopidogrel
If using a PCI for stemi and your patient does not take oral anticoagulation what medication should you prescribe?
Prausegrel
If your patient has a low risk of bleeding what medication should you give for NSTEMI/Unstable Angina when no immediate angiography?
Aspirin and Fondaparinux
If your patient has a high risk of bleeding what medication should you give for NSTEMI/Unstable Angina and needs immediate angiography?
Unfractioned Heparin
For an STEMI what is present on ecg at 3 days?
Q Waves
How do NSTEMI’s present on ECG?
St Depression and T Wave Inversion
What is Fondaparinux?
Blood thinner that selectively inhibits factor XA
If thrombolysing a STEMI patient what should you use?
Telecteplase
When should you never useTelecteplase with in STEMI thrombolysis?
Previous stroke or previous intracranial bleed
Which leads would you expect to see changes for a STEMI in the Left Anterior Descending Artery
V1-4
Which leads would you expect to see changes for a STEMI in the Right Coronary Artery?
IV, III, AVF
Which leads would you expect to see changes for a STEMI in the Left Circumflex Artery?
I, V5-6
Which leads would you expect to see changes for a STEMI in Right Coronary Artery?
Posterior Leads
Which arrythmia complications can happen after ACS? (7)
Sinus Bradycardia
1st Degree AV Block
Morbitz Type 2 (Wenckleback Phenomena)
Sudden complete AV Block
Sinus Tachycardia
SVT
VT
Sinus Bradycardia is a particular risk of ACS if there is a heart attack where?
Inferior MI
1st Degree AV Block is a particular risk of ACS if there is a heart attack where?
Inferior MI
Mobitz Type 2 gives a high risk of?
Sudden complete AV Block and needs paced
How does Pericarditis present on ecg?
Saddle shaped and ST Elevation
What happens to cardiac output and JVP in Right Ventricular Failure?
CO Decreases and JVP increases
What happens to cardiac output in cardiac tamponade?
Decreased