Management of CA Athero

Question 1

STEMI treatment goals and how its done

Answer 1

Immediate reperfusion of the myocardium

Through thrombolysis or PCI, rarely CABG

Question 2

NSTEMI treatment goals and how its done

Answer 2

Plaque stabilization, de-burdening of thrombus, preventing STEMI, reducing ischemia
Though aggressive anti-thrombotic therapy, PCI, CABG

Question 3

What medications will you be on after ACS

Answer 3

ASA*
PY12 inhibitor
Advanced antithrombotic therapy
Statin*
B blocker*
ACEI*
* = class 1 evidence for long term therapy

Question 4

Pain to balloon time should be…

Answer 4

Less than 90 mins