Cardiac causes of cardiac arrest

Question 1

All patients should receive prior to PPCI

Answer 1

Platelet ADP receptor blocker eg.
- clopidogrel 600mg
- prasugrel 60mg
- ticagrelor 180mg

Question 2

Absolute contraindications for PPCI

Answer 2

-previous haemorrhagic stroke
-ischaemic stroke during the previous 6 months
Central nervous system damage or neoplasm
Recent major surgery, head injury or major trauma
Active internal bleeding or GI bleeding within the past month
Known or suspected aortic dissection
Known bleeding disorder

Question 3

All patients having fibrinolytic agent for STEMI require

Answer 3

Aspirin 300mg and ticagrelor 180mg or aspirin and clopidogrel if higher bleeding risk
Antithrombin therapy
- LMWH
-unfractionated heparin
-Fondaparinux

Question 4

Unstable angina ECG findings

Answer 4

Normal
ST depression - acute myocardial ischaemia
T wave inversion

Question 5

Treatment to prevent further thrombus formation in NSTE ACS

Answer 5

Fondaparinux 2.5mg OD
Aspirin 75mg OD after initial 300mg loading dose