IHD Flashcards

You may prefer our related Brainscape-certified flashcards:
1
Q

What 3 things on ECG would indicate thrombolysis is appropriate?

A

ST elevation (2 consecutive leads, 1mm or 2mm in anterior)
Posterior MI
new bundle branch block

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2
Q

What are some contraindicators for thrombolysis?

A

stroke (any haemorrhagic, ischaemic in the last 3 months)
structural cerebral vascular lesion
malignant intracranial neoplasm
suspected aortic dissection
active internal bleeding
recent trauma, surgery or acute cerebrovascular event

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3
Q

What are 4 types of thrombolysis drug?

A

alteplase, reteplase, streptokinase, tenecteplase

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4
Q

What are some SE of thrombolysis?

A

bleeding (stroke), migration of blood clots, kidney damage if patient has kidney disease, hypotension, arrhythmias, streptokinase has antibodies which stop it working again

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5
Q

Which treatment for MI is preferred?

A

PCI

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6
Q

What are some RF for IHD?

A

age, sex, lack of exercise, high blood glucose, high cholesterol, stress, high BP, S. Asian, alcohol, autoimmune diseases, smoking, family history

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7
Q

What are some differentials of acute coronary syndrome?

A

stable angina, PE, GORD, costrochondritis, anxiety, pericarditis, cardiac tamponade, shingles, pneumothorax, esophageal spasm, pancreatitis

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8
Q

What are the blood tests to detect cardiac damage?

A

Troponin (T or I) -more specific

Creatine kinase or CK-MB

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9
Q

Which leads on ECG are which areas?

A

Anterior/Septal - V1-V4
Lateral - I, aVL, V5-V6
Inferior - II, III, aVF

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10
Q

How quickly does PCI need to be done?

A

90 mins of arrival at hospital - over 12 hours is unhelpful

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11
Q

How quickly do you need to do thrombolysis?

A

Within 30 mins ideally - definetly 4 hours

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