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General Medicine > Cardio- Acute Coronary Syndromes > Flashcards

Cardio- Acute Coronary Syndromes Flashcards

1
Q

If there is myocardial injury during acute coronary syndrome what is this called?

A

Myocardial infarction

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2
Q

Presentation of a STEMI

A

Central crushing pain, radiating to left arm or neck, nausea, sweating, palpitations, dyspnoea

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3
Q

Diagnosis for STEMI:

A

Chest pain, ST elevation, +ve troponin markers

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4
Q

Management for STEMI:

A 
IV Acess
Morphine
Oxygen 2-4l 94-98% SpO2
GTN 2 puffs
Aspirin 300mg PO (75mg/d)
Prasugrel 60mg PO (10mg/d)
Percutaneous Coronary Intervention
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5
Q

Criteria for prasugrel and alternative:

A

Under 7t
More than 60kg
No TIA or stroke history

Clopidogrel 600mg (75mg/d)
Ticagrelol 180mg (90mg/bd)
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6
Q

Prasugrel mechanism for action:

A

Theienopyridne inhibits ADP receptors

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7
Q

Who has silent MIs and presentation?

A

Elderly/diabetics/hypertension

Syncope,

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General Medicine (4 decks)

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