Ischaemic Heart Disease Flashcards
What is Acute Coronary Syndrome (ACS)?
STEMI, NSTEMI, unstable angina
What is the typical presentation of a AMI?
severe chest pain lasting >20 mins
pain radiates to neck/jaw/arm
sublingual GTN is ineffective
What is used for short term symptoms control for CAD?
“MOAN”
- M - morphine
- O - oxygen
- A - aspirin
- N - nitrate
What treatment to give during an AMI?
“MONASH”
- M - morphine
- O - oxygen
- N - nitrate
- A - aspirin
- S - streptokinase/tPA
- H - heparin
What medications do you give after an AMI?
“SAABC”
- S - statin
- A - aspirin
- A - ACE inhibitor
- B - beta-blocker
- C - clopidogrel
What is the typical presentation of an AMI in an elderly patient?
a ‘silent’ AMI, only 20% will have chest pain
causes weakness, disorientation, confusion
What is the typical presentation of an AMI in a diabetic patient?
a ‘silent’ AMI
What is the typical presentation of an AMI in a female patient?
only 50% have central chest pain
prior to event can have signs:
- unusual fatigue
- sleep changhes
- SOB
- chest discomfort
What is the management of AMI?
- MONASH, SAABC
- PCI
- CABG
What conduits are used in a CABG??
- great saphenous vein
- internal thoracic artery
- radial artery
- gastro-epiploic artery
What types of angina are there?
- stable angina
- unstable angina
- variant angina
- decubitus angina
what is stable angina?
angina where plaque hasn’t ruptured
What are the features of stable angina?
occurs on exertion and relieved at rest
What is unstable angina?
caused by a clot, as a result of an ulcerated fibrous cap
what are the features of unstable angina?
chest pain occurs at rest, sudden onset with crescendo pattern
indicates an increased risk of an AMI
What is this?
unstable angina
What is this?
stable angina
