Module 3 - ACS

Question 1

What conditions are included under the umbrella of Acute Coronary Syndromes?

Answer 1

• unstable angina
• non-ST elevated myocardial infarction
• ST-elevated myocardial infaction

Question 2

True or False: Cardiac biomarkers are elevated in unstable angina?

Answer 2

False

Question 3

What are the 2 re-perfusion therapies for a STEMI?

Answer 3

• fibrolytics (goal is within 30 minutes of presentation)

- Percutaneous coronary intervention (goal is within 90 minutes of presentation)

Question 4

What leads look at the inferior portion of the heart?

Answer 4

II, III, and aVF

Question 5

What leads look at the lateral portion of the heart?

Answer 5

I, aVL, V5, V6

Question 6

What leads look at the anterior portion of the heart?

Answer 6

V3 and V4

Question 7

What leads look at the septum?

Answer 7

V1 and V2

Question 8

In what leads would you expect to see changes if there was an LAD blockage

Answer 8

V1, V2, V3, V4

Question 9

What leads would you expect to see changes in if there was an RCA blockage?

Answer 9

II, III, aVF

Question 10

What leads would you expect to see changes in if there was a circumflex blockage?

Answer 10

I, aVL, V5, and V6

Question 11

What are the 4 goals of reperfusion therapy?

Answer 11

1) to reestablish patency of coronary artery
2) to save myocardial tissue
3) to preserve left ventricular function
4) to increased chance of survival

Question 12

What is considered the gold standard treatment for ST-elevation myocardial infarciton?

Answer 12

Percutaneous coronary intervention