Lecture 28 - Acute Chest Pain

Question 1

Initial treatment of STEMIs and Non-STEMIs - similar?

Answer 1

pain relief, nitrate, aspirin, beta blockers

Question 2

Initial treatment of STEMIs and Non-STEMIs - differences?

Answer 2

thrombolytics for STEMI

Question 3

Aspirin mechanism of action?

Answer 3

irreversible platelet COX1 inhibitor - metabolised into salicyclic acid

Question 4

When to use clopiderol?

Answer 4

acute coronary syndromes, aspirin allergy, vascular stenting (comb. w aspirin)

Question 5

Pharmacodynamics of beta blockers?

Answer 5

reduce heart rate, reduce cardiac work