Lecture 11: Ischemic Heart Disease Part 3 Flashcards
1
Q
What are the 4 general ED treatments for ACS? (MONA)
A
- Morphine
- O2 4L NC (O2 < 95%)
- NTG (SL)
- ASA (162-324mg) chewable
2
Q
How does RV infarct tend to present? Tx?
A
- IWMI
- Hypotension with preserved LV function
- Treat via NS and inotropes
3
Q
In what walls does a ventricular wall rupture tend to occur and how does it present?
A
- Anterior or lateral wall of LV
- Pericardial effusion post-MI
- PEA
4
Q
Who is ventricular free-wall rupture MC in?
A
- Elderly
- Poor collateral circulation
- Ischemic preconditioning
- First MI
5
Q
What kind of MI does a Post-MI VSD tend to present as?
A
Transmural MI over the septum post-MI.
6
Q
What history findings may suggest prinzmetal angina?
A
- Use of migraine medication (Ergot)
- Emotional Stress
- Cold
- Cocaine
7
Q
What is the typical presentation of prinzmetal angina patients?
A
- STE
- Women under 50
- Early morning
- No CAD on catherization
- Associated with arrhythmias or conduction defects.
8
Q
What are the first-line therapies for prinzmetal angina?
A
- Nitrates
- CCBs
BBs can worsen spasms.
9
Q
What are the 5 post-MI complications?
A
- Ischemic
- Mechanical
- Arrhythmias
- Embolic
- Inflammatory
10
Q
What is Dressler’s syndrome?
A
Post-MI pericarditis
Can occur up to 12 weeks post.
Believed to be caused by immune system mediated inflammatory response.
