Acute Coronary Syndrome and Acute Myocardial Infarction Flashcards
1
Q
What allows for the Diagnosis of MI?
A
Positive cardiac biomarkers Symptoms of ischaemia New ECG changes Evidence of coronary problem Evidence of new cardiac damage
2
Q
Other reasons for Type 1 MIs?
A
Cocaine, triptans, chemo drugs Coronary dissection Embolism of material down artery Inflammation of coronary arteries Radiotherapy to chest
3
Q
What is a MI?
A
Cell death due to ischaemia
4
Q
What is the main cause of a MI?
A
Coronary artery occlusion
5
Q
What happens to an ECG in complete coronary artery occlusion?
A
ST elevation on initial ECG and Q waves at 3 days
6
Q
What happens to an ECG in partial coronary artery occlusion?
A
No ST elevation on initial ECG and no Q waves at 3 days
7
Q
What are risk factors for MIs?
A
Male Age Known heart disease High cholesterol Hypertension Diabetes Smoker Family history
8
Q
Chest pain in an MI?
A
May radiate to neck/arm
Often deny it is pain, more discomfort
Severe but not agony
Nausea, sweating, breathlessness
9
Q
Investigations for an MI?
A
ECG
