MIs Flashcards
What invesitgation do you need to do to differentiate between (unstable) angina and an MI
Troponin
(troponin is not raised is angina, but it is in an MI)
What are the 2 main differences between a NSTEMI and a STEMI
NSTEMI
Partial occlusion of coronary arteries
ST segment is not raised
STEMI
Full occlusion of coronary arteries
ST segment is raised
What invesigations are undergone for MIs
Troponin
FBC
Lipids
ECHO
ECG
Bloods
CXR
cMRI
What are the clinical features for an MI
Chest pain (acute & severe)
Sweating
Feeling of impending doom
Palpitations
Fatigue
What are the charactersitics of the chest pain caused by an MI
Acute
Severe
Patients who’ve had an MI often say that they had a feeling of what prior to the chest pain and what not
Impending DOOOOMMMM
What causes troponin levels to be increased
Comprimised myocyte integrity
What are some of the causes of an MI
Coronary atheroma
Thrombosis
Coronary artery spasm
What are the some of the risk factors for MIs
Male
Old
Obese
Smoking
Alcholol
Coronary heart disease
Hypertension
Hyperlipidemia
What is the acute managment for an MI
MONA BASH
Morphine
Oxygen
Nitrates
Asprin
B-blocker
ACEi
Statins
Heparin (LMWH)
What prophylaxis should those at risk of getting an MI be put on
Aspirin
What surgical treatment is the 1st line treatment for both a STEMI or a NSTEMI
Per-cutaneous Intervention
What treatment is undergone if PCI can’t be done within a 90min period
Thrombolysis
