Myocardial Infarction

Question 1

Myocardial Infarction Types: S N S 1. 2. 3.

Answer 1

Myocardial Infarction Types:

1. Stable Angina
2. NSTEMI 3. STEMI

Question 2

Myocardial Infarction Investigations: CEE-RTB-LE-ME-A->P
C
E
E
T
B
LE
ME
A-> P

Answer 2

Myocardial Infarction Investigations: CEE-RTB-LE-ME-AP

1. Chest X Ray
2. ECG
3. Exercise Tolerance Test
4. Troponin - Raised
5. Bloods: FBC, U&E, Glu, Lipids, & Cardiac Enzymes
6. Liver Enzymes
7. Muscle Enzymes
8. Angioplasty in order to perform PCI

Question 3

Acute Myocardial Infarction ECG Changes:

1. T
2. ST
3. T
4. Q
5. WM

Answer 3

Acute Myocardial Infarction ECG Changes:

1. T - hyper-acute (mins)
2. ST - elevation
3. T - inversion (24 hours)
4. Q - pathological (hours-days)
5. WM - Posterior - Tall R waves (- on V1 = W) (+ on V6 = M)

Question 4

Myocardial Infarction Treatment: MOAN P-C/T (4.5)
M: 
O: 
A: 
N: 
1. P-C
2. T

Answer 4

Myocardial Infarction Treatment: MOAN
M: Morphine (Opioids/Algesia) 
O: Oxygen (if < 93%)
A: Aspirin (&amp; Clopidogrel)
N: Nitrates (GNT - Nitroglycerin) 
1. PCI - if fails -> CABG (2hrs)
2. Not Available -> Thrombolytics (< 4.5 hrs)

Question 5

MI Tx on Discharge: A-ABC-S
A: (S-2P)
ACE:
B:
C:
S:

Answer 5

MI Tx on Discharge: A-ABC-S
A: (S-2P) Aspirin - 2 Anti-platelets if STEMI
ACE: Angiotensin Converting Enzyme Inhibitor
B: Beta Blocker
C: Calcium Channel Blocker
S: Statin

Question 6

Complications of MI: DARTH VADER
D
A
R
T
H
V
A
D
E
R

Answer 6

Complications of MI: DARTH VADER
Death
Arrhythmia - VF
Rupture
Tamponade
Heart failure (R/L)
Valve disease
Aneurysm of ventricle
Dressler's syndrome
Embolism (mural trombus) (thromboembolism)
Reurcurence/Regurgitation (Mitral)

Question 7

Myocardial Infarction Symptoms: ABC RS ND
1 .
2. 
3. 
4. 
5. 
6. 
7.

Answer 7

Myocardial Infarction Symptoms: ABC RS ND
1 . Acute Central Chest Pain
2. Breathlessness/Dyspnoea 
3. Cough/Wheeze
4. Radiation of Pain (Arm, neck, jaw)
5. Sweating
6. Nausea
7. Dizziness

Question 8

Myocardial Infarction Signs: PARRR
P
A
R
R
R

Answer 8

Myocardial Infarction Signs: PARRR
Pallor/Pale
Anxiety
Raised - Pulse Rate
Raised - Reduced BP (depending on severity)
Raised - JVP

Question 9

Myocardial Infarction Risk Factors:
MH
FH
S
D
BP
PVD

Answer 9

Myocardial Infarction Risk Factors:
MH - Medical History - CVD
FH - Family History - CVD
S - Smoking
D - Diabetes
BP - Hypertension (High BP)
PVD - Pulmonary Vascular Disease