Ischaemic Heart Disease

Question 1

AMI needs 2 out of these 3 things:

Answer 1

1. symptoms of myocardial ischaemia
2. elevated CK or troponins
3. ECG changes (Q waves, ST or T wave changes)

Question 2

acute coronary syndrome is?

Answer 2

thrombosis in coronary artery>occlusion/narrowing>pain

Question 3

acute coronary syndrome presents as 4 things?

Answer 3

1. ST elevation
2. non ST eleveation
3. unstable angina
4. sudden cardiac death

Question 4

diaphoresis means?

Answer 4

lots of sweating

Question 5

optimal time period for reperfusion or coronary vessels?

Answer 5

<4hours

Question 6

when do fibrinolysis instead of PCI?

Answer 6

early presentation

can’t or delayed invasive option

Question 7

PCI means?

Answer 7

percutaneous coronary intervention

Question 8

Beta blockers after acute MI?

Answer 8

effective at reducing morbidity and mortality

Question 9

ACE inhibitors after AMI?

Answer 9

yep, improves LVEF

Question 10

what is Eplerenone?

Answer 10

Aldosterone Antagonist

Question 11

what is Clexane?

Answer 11

class of Heparin: anticoagulant:
Enoxaparin

Question 12

ischaemic complications of AMI?3

Answer 12

angina
reinfarction
infarct extension

Question 13

mechanical complications of AMI? 5

Answer 13

heart failure
cardiogenic shock
mitral valve dysfunction
aneurysm
cardiac rupture

Question 14

arrythmic complications of AMI?4

Answer 14

atrial
ventricular
sinus nodes
AV node

Question 15

embolic complications of AMI?

Answer 15

CNS

peripheral embolization

Question 16

inflam complications of AMI?

Answer 16

pericarditis