Acute Coronary Syndrome Flashcards
1
Q
What are the common examination findings?
A
May have:
Signs of risk factors - tar staining/xanthelasma/anaemia
AF
Bradycardia/Hypotension
Signs of LVF
Signs of peripheral vascular disease
2
Q
What are the investigations?
A
To finish the exam i would like to - Fundoscopy, respiratory exam, and Peripheral arterial exam,urinalysis and BP
By the bed - History, obs
Bloods - FBC, U/E, Lipid profile, trops
Other - ECG, CXR
3
Q
What are the key investigation findings?
A
ECG - Common signs of MI
ST DEPRESSION:
NSTEMI/Unstable angina
4
Q
What is the treatment?
A
1) MONA
Morphine and anti emetic
O2 if below 94%
Nitrates
Anti platelets - Asprin and clopidigrel
2) if STEMI then PCI within 2 hours
3) after - Mi5
5
Q
What are the risk factors?
A
Obesity
Smoking
Alcohol
Familial hyperliidpaemia
