heart attacks and angina

Question 1

what is the difference between STEMI and NSTEMI?

Answer 1

NSEMI is a partial blockage of the coronary arteries
STEMI is a complete blockage

Question 2

what causes STEMI and NSTEMI?

Answer 2

plaque

Question 3

what makes angina class as unstable?

Answer 3

sudden onset at rest, acceleration of the frequency and severity of pain

Question 4

give 3 signs of a heart attack (symptomatic)?

Answer 4

chest pain lasting over 20 mins, sweating, dizziness

Question 5

what enzymatic changes are present in a heart attack?

Answer 5

changes in troponin T and I levels

Question 6

what is the difference between a normal ECG and a STEMI (heart attack) ECG?

Answer 6

elevation of the ST region

Question 7

give 4 modifiable risk factors for hypertension?

Answer 7

smoking, obesity, high cholesterol and hypertension

Question 8

what are the two points of myocardial salvage after a heart attack?

Answer 8

reducing the oxygen demand of the heart and restoring the hearts blood supply

Question 9

what 5 drug classes are used to improve survival after a heart attack? (hint there is an acronym SAAB+GTN)

Answer 9

statin
ACE inhibitor
dual antiplatelet
beta blocker
GTN spray

Question 10

what generation of beta blockers are used for hypertension and why?

Answer 10

second generation because they are cardio selective

Question 11

give the doses of atenolol and bisoprolol needed for hypertension?

Answer 11

atenolol = 25-50mg
bisoprolol = 5mg