MI Flashcards

1
Q

do ACS occur due to vulnerable plaque disruption or progerssive arterial narrowing?

A

vulnerable plaque disruption

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what is the leading cause of death in women?

A

heart disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

which killip classification? no rales, no S3, mortality 8

A

class 1

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

which killip classification? rales over less than 50% or S3, mortality 30

A

class 2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

which killip classification? rales over >50%, mortality 44

A

class 3

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

which killip classification? cardiogenic shock, mortality 80-100

A

class 4

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

when does troponin peak with AMI?

A

24-48 hrs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

how long does cTnI stay elevated/

A

5-10 days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

how long does cTnT stay elevaetd?

A

10-14 days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

when does CNMB peak?

A

24 hrs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

when does CKMB exceed normal range and return to normal?

A

exceeds normal range 4-8 hrs, returns to normal 2-3 days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what does MONA stand for?

A

morphine, oxygen, nitro, ASA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

when would sublingual NTG be contraindicated?

A

(1) hypotensive

(2) concern for RV MI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

AV block is uncommon in what type of MI?

A

anterior

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

AV block is transient in what type of MI?

A

inferior

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

constellation of JVD, hypotension, and clear lung fields; need to avoid NTG & use caution with BB

A

RV inferior wall MI

17
Q

what is the commit trial?

A

showed that BB use in management of MI–>less arrhythmias, reinfarction and myocardial rupture but more cardiogenic shock.

18
Q

what meds for post MI med tx?

A

ASA for life

P2Y12 inhib for 1 yr (clopidogrel or ticagrelor)

19
Q

hypotension, elevated neck veins, clear lung fields, after inferior STEMI could be?

A

right ventricular infarct

20
Q

how to look for right ventricular infarct?

A

leaf v4R

21
Q

how to tx right ventricular infarct

A

avoid preload reduces (NTG), use caution w/ BB

22
Q

caused by nonocclusive platelet rich white thrombus

A

NSTEMI

23
Q

caused by occlusive fibrin rich red thrombus

A

STEMI