Chest pain Flashcards
Name 3 rare causes of angina
Decubitus angina
Prinzmental angina
Coronary syndrome X
What is decubitus angina?
Angina when lying down brings on symptoms
What is prinzmental angina?
Symptoms caused by coronary vasospasm
What is coronary syndrome X?
Symptoms of angina but with NORMAL exercise tolerance and normal coronary angiograms
What is the difference between unstable angina and an MI?
There is NO cardiac injury in angina
In which sort of people might the acute coronary syndrome be silent/ asymptomatic?
Diabetics and the elderly
Recall 3 ECG features of a STEMI
Hyperacute T waves
ST elevation
New LBBB
Recall 2 ECG features of unstable angina/ NSTEMI
Inverted T waves
ST depression
Recall which coronary artery supplies each portion of the heart
Inferior: right coronary artery
Anterior: LAD
Lateral: left circumflex
Posterior: posterior descending
In which leads is the ECG affected in an inferior infarct?
II, III, aVF
In which leads is the ECG affected in an anterior infarct?
V1-V5
In which leads is the ECG affected in a lateral infarct?
I, aVL, V5/6
In which leads is the ECG affected in a posterior infarct?
V1-3
What would be seen on ECG in a posterior infarct specifically?
Tall R waves and ST depression in leads V1-3
Recall the mnemonic for and the management plan of the acute coronary syndrome
MONARCH Morphine Oxygen Nitrates (GTN) Aspirin Revascularisation (PCI) Clopidogrel Heparin (LMWH)
Within how many hours of onset of symptoms of the ACS can PCI be performed?
4.5