Myocardial Infarction Flashcards

1
Q

Myocardial Infarction is also called “M.I.” or in more simple term:

A

Heart attack

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2
Q

It is caused by blood flow impairment to the heart due to different
factors such as formation of plaque (atherosclerosis) and blood clots
(thrombosis).

A

Myocardial Infarction

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3
Q

risk factors:

A

Smoking
Obesity
Hypertension
Sedentary lifestyle
High cholesterol diet
Older age (55 and above)
Family history of M.I.
Excessive alcohol
consumption

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4
Q

is associated with pleural conditions such as Pleuritis
(inflammation of the pleura) and pneumonia

A

Stabbing pain

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5
Q

____, especially after eating or when lying down, may mimic
angina but is a closer sign of GERD

A

Burning pain

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6
Q

______ can be an answer but crushing is more appropriate.
Squeezing type of pain along with dysphagia is more associated with
esophageal spasm.

A

Squeezing pain

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7
Q

_____ is a term, often used in medicine, that means
“characteristic for a particular disease”. A ____ sign is a
particular sign whose presence means that a particular disease is
present beyond any doubt.

A

Pathognomonic

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7
Q

HOW DO WE DESCRIBE CRUSHING PAIN???

A

Intensity: The pain is usually very severe, often described as one of the most
intense pains a person has ever experienced.

Quality: It feels as though something extremely heavy, like a weight or an
object, is pressing down on the chest, as if the chest is being “crushed”.

Location: The pain is usually centered in the chest but can radiate to other
areas, such as the arms (especially the left arm), jaw, shoulders, or back.

Duration: Crushing pain associated with myocardial infarction typically lasts
for several minutes and does not relieve with rest or change in position.

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8
Q

The pathognomonic sign of M.I. is called “_____”.

it is characterized by a clenched fist held over the chest to describe
ischemic chest pain
Named after Samuel A. Levine (1891–1966), an influential American
cardiologist, who first observed that many patients with chest pain
made this same sign to describe their symptoms

A

Levine’s sign

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9
Q

an ____ is the primary diagnostic tool for
detecting myocardial infarction. It provides a quick and non-invasive
way to assess for signs of ischemia, infarction, or other cardiac
abnormalities that require immediate attention.

A

ecg

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10
Q

This is a diuretic used in conditions like heart failure
or fluid overload but is not a first-line emergency treatment for MI.

A

Furosemide

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11
Q

______ is used to manage blood sugar levels in diabetic
patients but is not specifically indicated in the emergency
management of MI unless there is a concurrent issue with
hyperglycemia.

A

Insulin

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12
Q

This is an antibiotic used for bacterial infections and
has no role in the acute management of myocardial infarction.

A

Amoxicillin

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13
Q

are a class of drugs primarily known for their cholesterol-lowering effects, but their
benefits in the context of myocardial infarction (MI) extend beyond just lowering LDL cholesterol.

A

Statins

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14
Q

WHAT ARE THE S/SX OF BLEEDING (HEMORRHAGE)?

A
  1. Tachycardia (Increased Heart Rate):
  2. Hypotension (Low Blood Pressure):
  3. Tachypnea (Increased Respiratory Rate):
  4. Decreased Oxygen Saturation (SpO2):
  5. Cool, Clammy Skin:
  6. Pallor (Pale Skin):
  7. Weak, Thready Pulse:
  8. Altered Mental Status (Confusion, Restlessness, or Unconsciousness):
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15
Q

Encouraging the patient to talk about their fears allows them to process their anxiety, feel heard, and receive appropriate education or reassurance from the nurse. It helps address emotional well-being, which is vital in recovery.

A

Emotional Support

16
Q

helps to promote circulation and
prevent blood stasis, which is key in preventing DVT in post-MI
patients who may be immobilized.

A

Early ambulation

17
Q

non-st-elevation
myocardial
infraction

or

A

non-st-elevation
acute coronary
syndrome

18
Q

usually
indicates a total blockage of the
involved coronary artery and that
the heart muscle is currently dying

A

ST-segment elevation

19
Q

____ usually
involve an artery with partial
blockage, which usually does not
cause as much heart muscle
damage

A

Non-STEMI heart attacks