Acute MI

Question 1

Therapeutic options in MI

Answer 1

• ASA
• Morphine
• Nitroglycerine
• Oxygen
• Heparin
• Antiplatelet agents (glycoprotein IIb/IIIa inhibitors)
• Beta blockers
• ACEI/ARB
• HMG-CoA reductase inhibitors
• Thrombolytic agents
• Cardiac cath with PCI

Question 2

Hx in acute MI

Answer 2

• Cardiac risk factors
• Location, duration, intensity, exacerbating/ameliorating factors, radiation of chest pain
• Associated symptoms (nausea, emesis, dyspnea, diaphoresis, palpitations, dizziness, syncope, heartburn, belching)

Question 3

PE skills

Answer 3

• Recognition of dyspnea and anxiety
• Accurate vital sign measure
• Exam of heart and vascular system
• Exam of lungs

Question 4

DDx of acute MI

Answer 4

• Stable angina
• Coronary vasospasm
• Unstable angina
• Pericarditis
• Aortic dissection
• PE
• Other non-cardiac causes

Question 5

Potential labs in acute MI

Answer 5

• ECG
• CXR
• Macromolecular markers (myoglobin, CK-MB, Troponin-I)
• Echo
• Cardiac stress test
• Coronary angiography

Question 6

Counseling in Acute MI

Answer 6

• Dx, Tx, f/u
• Elicit questions
• Educate on modifying cardiac risk factors