AHA NSTEMI 2014 Flashcards
When should beta blockers be intiated?
within 24 hours
What is K cutoff to start Spironolactone?
K = 5+
What is Bivalirudin dosing in NSTEMI?
-0.10 mg/kg loading dose followed by 0.25 mg/kg/hr
When should urgent/immediate invasive strategy been done? (4)
- Refractory Angina
- HF
- HD instability
- VT/VF
When should Early Invasive strategy be pursued? (Cath within 24 hours)
- Grace > 140
- Troponin elevation
- New or presumable new ST depression
What to give during PCI if patient is on Fonda?
85 IU/Kg UFH
3 Phrarmacotherapy for vasospastic angina?
- Nitrates
- CCB
- Statin
Non pharm: smoking cessation, RF modification
What to discontinue Plavix, Ticagrelor and Prasugrel prior to Elective CABG? Urgent?
- Plavix, Ticagrelor = 5 days
- Prasugrel = 7 days
- For urgent DC 24h before
Who should immediate PCI (< 2h) ?
Refractory Angina
Signs or symptoms of HF or new MR
Hemodynamic Instability
Sustained VT/VF
Recurrent Angina or Angina at low work load despite optimal medical therapy
Who to select for Early Invasive > 24h? (3)
GRACE > 140
New ECG changes
Troponin Change
