Myocardial Infarct

Question 1

How many types of MI’s are there?

Answer 1

5 types

Question 2

What is a Type 1 MI caused by?

Answer 2

Atherosclerotic plaque disruption or acute coronary thrombosis

Question 3

What is the most common type of MI and usually manifests as an STEMI?

Answer 3

Type 1 MI

Question 4

What is a type 2 MI?

Answer 4

MI secondary to an oxygen supply/demand mismatch

Question 5

What is a Type 3 MI?

Answer 5

MI resulting in death when bio markers are unavailable

Question 6

What is a Type 4 MI?
-How many subtypes are there?

Answer 6

MI related to PCI
- 3 subtypes

Question 7

What is a Type 4a MI

Answer 7

MI < or = to 48hrs post PCI

Question 8

What is a Type 4b MI

Answer 8

MI related to stent thrombosis

Question 9

What is a Type 4c MI

Answer 9

MI associated with restenosis post PCI

Question 10

What is a Type 5 MI

Answer 10

MI relating to Coronary artery bypass grafting

Question 11

Treatment of an MI consists of what 3 things?

Answer 11

Revascularization via PCI, antiplatelet and anti coagulation therapy, and MONA-BASH

Question 12

What anti-platelet therapy drugs are used?
-Doses?

Answer 12

Aspirin: loading dose 162-325mg
PLUS ADP receptor inhibitor (clopidogrel)

Question 13

What anticoagulation drug is used to treat MI?

Answer 13

LMWH

Question 14

What does MONA-BASH stand for?

Answer 14

Morphine, Oxygen, Nitro, Antiplatelet drugs, Beta blockers, ACEI’s, Statins, Heparin