Cardio - useful passmed facts

Question 1

Management of patients following a myocardial infarction (MI) - all drugs they should be offered on discharge?

Answer 1

All patients should be offered the following drugs:

• dual antiplatelet therapy (aspirin plus a second antiplatelet agent, usually ticagrelor and prasugrel)
• ACE inhibitor
• beta-blocker
• statin

SADAB

BADAS

Question 2

Management of patients following a myocardial infarction (MI) - what additional drug should be prescribed if they have symptoms of heart failure?

Answer 2

Aldosterone antagonist - eplerenone

Patients who have had an acute MI and who have symptoms and/or signs of heart failure and left ventricular systolic dysfunction, treatment with an aldosterone antagonist licensed for post-MI treatment (e.g. eplerenone) should be initiated within 3-14 days of the MI, preferably after ACE inhibitor therapy

Question 3

Antiplatelet therapy following ischaemic stroke

Answer 3

Immediately Aspirin Daily 300mg for 2 weeks

and

Clopidogrel Daily 75mg Lifelong

Question 4

Contraindications to thrombolysis?

Answer 4

abc ship - aortic dissection, bleeding, coag disorders, stroke, HTN, intracranial neoplasm/injury, pregnancy

Question 5

ECG changes for hyperkalaemia including sinusoidal T wave?

Answer 5