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Cardiovascular Health > Acute Coronary Syndrome > Flashcards

Acute Coronary Syndrome Flashcards

0
Q

Which leads show ST elevation in an anteroseptal infarct?

A

V1-4 (LAD)

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1
Q

Which leads show ST elevation in a high lateral infarct?

A

I, aVL

Circumflex

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2
Q

Which leads show ST elevation in an inferior infarct?

A

2, 3, aVF

Right coronary artery

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3
Q

What is the time frame for PCI?

A

Within 12 hours of symptom onset AND PCI can be performed within 2 hours of presentation

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4
Q

What is the initial management of ACS?

A

Oxygen if sats less than 94%
Aspirin 300mg
Morphine
Nitrates

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5
Q

What is the time frame for fibrinolysis?

A

Within 12 hours of symptom onset

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6
Q

What antiplatelet therapy is needed following medical management of STEMI?

A

Aspirin and Ticagrelor

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7
Q

What antiplatelet therapy is needed following fibrinolysis for STEMI?

A

Aspirin and Ticagrelor

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8
Q

What antiplatelet therapy is needed following PCI for STEMI?

A

Aspirin and Prasugrel

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9
Q

What medications are prescribed for secondary prevention?

A

ACE Inhibitor
B-blocker
Statin
Dual anti-platelet therapy (Aspirin for life, second agent for 12 months)

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10
Q

What are the driving rules following ACS?

A

4 weeks off driving

1 week if successfully treated by angioplasty

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11
Q

What action is needed following fibrinolysis?

A

Repeat ECG 90 minutes later checking for resolution of ST elevation

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12
Q

What treatment is needed for cocaine induced MI?

A

IV benzodiazepine

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13
Q

For which patients would Spironolactone be following STEMI?

A

Symptoms/signs of heart failure or left ventricular systolic dysfunction

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14
Q

What are the features of left ventricular aneurysm as a complication of MI?

A

Persistent ST elevation
Signs of left ventricular failure

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15
Q

Which coronary artery supplies the AV node?

A

Right coronary artery

16
Q

What are the ECG features in posterior MI?

A

V1-V3 show reciprocal changes:
- Horizontal ST depression
- Tall R waves
- Upright T waves

17
Q

What is the mechanism of action of Aspirin?

A

COX1 and COX2 inhibitor

18
Q

What is the transfusion threshold in ACS?

A

If Hb less than 80

19
Q

What is the management of NSTEMI?

A

Aspirin 300mg
Calculate GRACE score
If >3% -> PCI
If <3% -> Fondaparinux

20
Q

What are the variables of the GRACE score?

A

Age
ECG
Renal function
Troponin

21
Q

What is the most common cause of death following MI?

A

Ventricular fibrillation (VF)

Cardiovascular Health (25 decks)

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