Acute Coronary Syndromes

Question 1

What needs to be performed at the site of first medical contact (including ambulance)

Answer 1

12 lead ECG

Question 2

Which ACS does not present with cardiac enzyme elevation

Answer 2

Unstable Angina

Question 3

Which ACS do not have ECG changes/transient ones

Answer 3

UA & NSTEMI

Question 4

Which ACS is the complete blockage?

Answer 4

STEMI

Question 5

which ACS is a partial blockage

Answer 5

UA & NSTEMI

Question 6

What should the hospital patient is transported to be capable of?

Answer 6

PCI

Question 7

What drugs are used in ACS

Answer 7

MONA - GAP - BA 
morphine
oxygen
nitrates
aspirin

GpIIB/IIIa antagonists
Anticoagulatnts
P2Y12 Inhibitors

Beta blockers
ACEi

Question 8

why is morphine used in ACS

Answer 8

arterial and venous dilation & pain relief

Question 9

Which drug should not be used in Acute care of ACS due to increased risk of mortality

Answer 9

nifedipine!

Question 10

Dosing for P2Y12 inhibitors for ACS

Answer 10

loading dose prior to PCI then normal dosing

Question 11

When are fibrinolytic used in ACS?

Answer 11

when PCI is not available within allotted time (90 min door to ballon or 120 min from first medical contact)

Question 12

How soon should fibrinolytic therapy be given?

Answer 12

within 30 minutes door to needle

Question 13

CI to fibrinolytics

Answer 13

hx of recent stroke or intracranial hemorrhage

Question 14

how long does DAPT continue after event?

Answer 14

12 months (at least)

Question 15

when is an aldosterone antagonist needed indefinitely after event?

Answer 15

if EF is