Acute Coronary Syndromes

Question 1

Do STEMI patients need to wait for cardiac markers before intervention?

Answer 1

NO. Proceed with treatment once available.

Question 2

What is the threshold for administering O2 for patients in ACS?

Answer 2

LESS than 94%. 94 is still ok.

Question 3

How is ASA given during first hours of ACS?

Answer 3

160-325mg CHEWED or 300mg suppository if vomiting, peptic ulcer dz

Question 4

What are the contraindications for nitroglycerin use?

Answer 4

1 Inferior wall MI or RV infarction
2 Hypotension <50, tachycardia
3 Recent phosphodiesterase inhibitor use

Question 5

What is the definition of STEMI

Answer 5

J point elevation in 2 or more contiguous leads or new LBBB. More than 2mm in leads V2 and V3 and 1mm or more in all other leads

Question 6

ST segment depression in the early pre cordial leads is equivalent to ST segment depression in others

Answer 6

Suggestive of posterior wall MI

Question 7

What yields superior patient outcomes in STEMI: PCI or Fibrinolysis?

Answer 7

PCI