MI Flashcards
do ACS occur due to vulnerable plaque disruption or progerssive arterial narrowing?
vulnerable plaque disruption
what is the leading cause of death in women?
heart disease
which killip classification? no rales, no S3, mortality 8
class 1
which killip classification? rales over less than 50% or S3, mortality 30
class 2
which killip classification? rales over >50%, mortality 44
class 3
which killip classification? cardiogenic shock, mortality 80-100
class 4
when does troponin peak with AMI?
24-48 hrs
how long does cTnI stay elevated/
5-10 days
how long does cTnT stay elevaetd?
10-14 days
when does CNMB peak?
24 hrs
when does CKMB exceed normal range and return to normal?
exceeds normal range 4-8 hrs, returns to normal 2-3 days
what does MONA stand for?
morphine, oxygen, nitro, ASA
when would sublingual NTG be contraindicated?
(1) hypotensive
(2) concern for RV MI
AV block is uncommon in what type of MI?
anterior
AV block is transient in what type of MI?
inferior
constellation of JVD, hypotension, and clear lung fields; need to avoid NTG & use caution with BB
RV inferior wall MI
what is the commit trial?
showed that BB use in management of MI–>less arrhythmias, reinfarction and myocardial rupture but more cardiogenic shock.
what meds for post MI med tx?
ASA for life
P2Y12 inhib for 1 yr (clopidogrel or ticagrelor)
hypotension, elevated neck veins, clear lung fields, after inferior STEMI could be?
right ventricular infarct
how to look for right ventricular infarct?
leaf v4R
how to tx right ventricular infarct
avoid preload reduces (NTG), use caution w/ BB
caused by nonocclusive platelet rich white thrombus
NSTEMI
caused by occlusive fibrin rich red thrombus
STEMI
