Lecture 11 - Acute Coronary Syndrome

Question 1

Elevated high-sensitivity __-_____ protein is a risk factor for atherosclerotic cardiovascular disease (ASCVD).

Answer 1

C-reactive protein

Question 2

Acute Coronary Syndrome (ACS) occurs after what happens? Patients present with acutely changing/increasing severity of symptoms over the course of a couple days or hours.

Answer 2

Acute plaque ruptures

Question 3

Are men or women more likely to present with atypical symptoms of MI?

Answer 3

Women

Question 4

Unstable Angina is characterized by ischemia but NO ______. So blood tests should show NORMAL levels of _____ and ____.

Answer 4

Infarction

Troponin

CK

Question 5

BOTH NSTEMI and STEMI will show elevated enzymes, but STEMI will show _____ elevation on EKG (or Left Bundle Branch Blcok - LBBB) and mature clots that include _____ (which protein?).

Answer 5

ST elevation on EKG

Fibrin

Question 6

Should TPA be given to patients experiencing STEMI or NSTEMI, and why?

Answer 6

STEMI, bc these are the ones that have Firbin, so TPA will work to “bust” the clot. NSTEMIs don’t include Fibrin.

Question 7

How many antiplatelet meds should be given as a reperfusion measure?

Answer 7

2

Question 8

ACE inhibitors prevent negative _____ following ACS.

Answer 8

Remodeling