Acute Coronary Syndrome

Question 1

What defines ACS?

Answer 1

Suspicion or presentation of acute myocardial ischemia

Question 2

What’s the classical presentation of ACS?
Additional symptoms?

Answer 2

Retrosternal chest pain that radiates

Additional: dyspnea, pallor, nausea, vomiting, diaphoresis, dizziness, syncope

Question 3

Are symptoms relieved by nitrates with ACS?

Answer 3

No.

Question 4

What’s the immediate management of ACS?

Answer 4

Obtain 12 lead, establish IV access, measure troponin, give 162-325 mg aspirin PO once if no contraindications

Question 5

Diagnostics of ACS? (What would you order to be done)

Answer 5

12 lead, lab studies, gather cardiac bio markers, and get a TTE

Question 6

What lab studies would you order for ACS?

Answer 6

CBC, BMP, and coagulation panel

Question 7

STEMI and NSTEMI are associated with ACS true or false?

Answer 7

True

Question 8

A downward slope of ST depression is caused by?

Answer 8

Ischemia

Question 9

A horizontal slope of ST depression is caused by?

Answer 9

Ischemia

Question 10

An upslope of ST depression is caused by?

Answer 10

Physical activity associated Ischemia

Question 11

A “sagging” ST DEPRESSION (looks like a rounding slope) is caused by?

Answer 11

Digoxin Toxicity