Acute Coronary Syndrome

Question 1

Angina Duration

Answer 1

Between 2 and 10 minutes

Question 2

Unstable Angina duration

Answer 2

10-20 minutes

Question 3

Acute MI duration

Answer 3

Variable; often >30 min

Question 4

Quality of angina, unstable angina, and acute MI

Answer 4

Pressure, tightness, heaviness and burning; unstable and acute are more severe

Question 5

Angina location

Answer 5

Retrosternal, often with radiation to or isolated discomfort in neck, jaw, shoulders, or arms (frequently the left)

Question 6

Chest pain precipitated by exertion, exposure to cold, psychologic stress

Answer 6

Stable Angina

Question 7

Chest pain similar to angina but occurs with low levels of exertion or even at rest

Answer 7

Unstable angina

Question 8

Chest pain unrelieved with nitroglycerin that may be associated with HF or arrhythmias

Answer 8

Acute MI

Question 9

Stable angina is relived with

Answer 9

Rest

Question 10

Unstable angina EKG presentation

Answer 10

ST depression and T wave inversion

Question 11

Coronary Artery Disease without chest pain

Answer 11

Silent ischemia

Question 12

Three types of ACS

Answer 12

Unstable angina, NSTEMI, and STEMI

Question 13

ECG changes with ACS

Answer 13

ST segment elevations during the painful episodes

Question 14

Term applied to patients in whom there is a suspicious or confirmation of acute myocardial ischemia or infarction due to decreased oxygen supply and/or increased demand

Answer 14

Acute Coronary Syndrome (ACS)

Question 15

Distinguishing unstable angina and NSTEMI

Answer 15

Troponin sensitivity biomarker test

Question 16

Angina characteristics

Answer 16

Symptoms of ACS, may have EKG changes

Question 17

NSTEMI characteristics

Answer 17

Symptoms of ACS, elevation of troponin, may have EKG changes

Question 18

Elevation in troponin (w/ NSTEMI) may take up to ___ hrs to show up after symptoms

Answer 18

3

Question 19

EKG changes associated with NSTEMI

Answer 19

ST segment depression, T wave changes, transient ST elevation

Question 20

Characteristics of vasospastic angina

Answer 20

Occurs at rest or when sleeping, associated with Raynaud’s, sudden pain d/t coronary vasopasm (underlying problem is vasospasm), transient ST elevations and normal ECG changes between episodes

Question 21

3 core elements of establishing diagnosis for vasospastic angina

Answer 21

Nitrates responsive angina, transient ischemic ECG changes in the absence of obvious causes for increased myocardial O2 demand, angiographic evidence of spasm

Question 22

STEMI ECG

Answer 22

ST elevation

Question 23

NSTEMI ECG

Answer 23

ST depression, T inversion

Question 24

Inferior wall EKG leads

Answer 24

II, III, aVF

Question 25

Anterior wall leads

Answer 25

V1-V4

Question 26

Lateral wall leads

Answer 26

I, V5, V6, aVL

Question 27

Part of heart affected with inferior wall MI

Answer 27

Right Coronary Artery (RCA)

Question 28

Part of heart affected with anterior wall MI

Answer 28

Left anterior descending (LAD)

Question 29

Part of heart affected with lateral wall MI

Answer 29

Circumflex

Question 30

High lateral wall leads

Answer 30

I, aVL

Question 31

Low lateral wall leads

Answer 31

V5-V6