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Cardio AM > Acute coronary syndrome > Flashcards

Acute coronary syndrome Flashcards

1
Q

What is a diagnostic definition of an MI?

A

2 of

  • rise and fall in troponin
  • ECG changes
  • symptoms
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2
Q

What are the types of MI?

A 
1= primary coronary event e.g. plaque rupture, dissection, thrombus 
2= imbalance between supply and demand e.g. atherosclerosis 
3= sudden cardiac death
4= PCI 
5= CABG
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3
Q

What are some risk factors for ACS?

A 
Smoking 
DM 
Obesity, hypercholesterolaemia 
Hypertension 
FH
MAle
Advancing age
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4
Q

What is the presentation of ACS?

A 
Chest pain- central, crushing, radiation to jaw and left arm 
Dyspnoea 
Pallor 
N&V 
Sweating
Presyncope
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5
Q

What investigations are done for ACS?

A

Serial ECGs
Serum troponin
Creatinine kinas e
FBC, U&Es, LFTs

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6
Q

What is seen on an ECG in STEMI?

A

ST elevation
T wave inversion
Reciprocal changes
New LBBB

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7
Q

What is seen on ECG in NSTEMI?

A

ST depression

T wave inversion

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8
Q

What is seen on ECG in Unstable angina?

A

No changes

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9
Q

When is serum troponin done?

A

4-6 hours after onset of symptoms

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10
Q

What is the immediate management of a STEMI?

A 
MONAC
-Morphine
-O2 if sats <94%
-Nitroglycerin 
-Aspirin 300mg
-Clopidogrel 300mg 
<90 mins= PCI 
>90 mins= thrombolysis
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11
Q

What is the secondary prevention for STEMI?

A

12 months dual anti platelet therapy
ACEi
BB= usually atenolol
Statin= usually atorvostatin

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12
Q

What is the immediate management of NSTEMI?

A

BATMAN

  • beta blockers
  • aspirin 300mg
  • ticagrelor 180mg/clopidogrel 300mg
  • morphine
  • anticoagulent treatment dose
  • nitroglycerin
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13
Q

What is the anticoagulant given in NSTEMI?

A

LMWH at treatment dose

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14
Q

What is the secondary prevention of NSTEMI?

A

12 months dual antipletelt therapy
ACEi
BB= usually atenolol
Statin= normally atorvostatin

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15
Q

What is the management of unstable angina?

A

BATMAN

  • beta blockers
  • aspirin 300mg
  • ticagrelor 180mg/clopidogrel 300mg
  • morphine
  • anticoagulent treatment dose
  • nitroglycerin
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16
Q

What is the secondary prevention of unstable angina?

A 
Lifestyle 
GTN spray 
Aspirin 
Statin 
BB or rate limiting CCB

Cardio AM (16 decks)

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