CVS Biochemistry Flashcards

1
Q

Unstable angina definition

A

Non-occlusive thrombosis

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2
Q

Unstable angina ECG changes

A

None

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3
Q

Unstable angina cardiac enzymes

A

Normal

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4
Q

NSTEMI definition

A

Non-occlusive thrombosis

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5
Q

NSTEMI ECG changes

A

ST depression

T wave inversion

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6
Q

NSTEMI cardiac enzymes

A

Elevated

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7
Q

STEMI definition

A

Occlusive thrombosis

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8
Q

STEMI ECG changes

A

ST elevation

or New LBBB

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9
Q

STEMI cardiac enzymes

A

Elevated

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10
Q

Biomarkers for ACS

A
  1. Troponin
  2. Creatinine Kinase Myocardial
    - useful in re-infarction
    - produced by brain, heart, muscle, serum
  3. Myoglobin
    - rises and falls very quickly
  4. Fatty acid binding protein
  5. Coceptin
  6. Ischaemia modified albumin
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11
Q

Types of Troponin

A

TnT
TnI
TnC - not cardiac specific

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12
Q

Causes of raised troponin

A
  • CCF
  • Renal failure
  • AF
  • Myocarditis
  • PE
  • Electric burns
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13
Q

BNP

A

B-type Natriuretic Peptide

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14
Q

BNP released by

A

Ventricles

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15
Q

Effects of BNP

A

Reduces TPR
Reduces venous pressure
Natriuresis (urination)

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16
Q

Use of BNP

A

Diagnosis and grading CCF

Recurrence of acute MI