Myocardial Infarction // Acute Coronary Syndrome Flashcards
Acute coronary syndrome comprises of what (3)
Unstable angina
STEMI
NSTEMI
What are the 3 typical symptoms of a MI
Nausea
Sweating
Crushing pain >20mins
What are the 3 signs of a MI (…)
RIP
Raised Jugular Venous Pressure
Increased Pulse
Pallor / Anxiety
What type of infarct is a STEMI
What part of the wall is affected
Transmural Infarct
All myocardial wall is affected
what are the ECG signs of a transmural infarct (STEMI)
ST Elevation
Q Elevation
what type of infarct is a NSTEMI
What part of the wall is affected
Subendocardial infarct
<50% of wall
What are the ECG signs of a subendocardial infarct (NSTEMI)
ST Depression
When looking at the ECG, what is found in ACS in terms of T and Q waves
Inverted T waves
Pathological Q waves
What are 3 findings of a CXR in ACS
Cardiomegaly
Pulmonary Oedema
Widening of mediastinum
What type of angiography is used in ACS / MI
Percutaneous Coronary Intervention (PCI)
What is the immediate management plan for ACS (…. .)
MONA B
Morphine
Oxygen
Nitrates
Anti-coagulants (Aspirin)
Beta blockers (atenolol)
What will the px be discharged with (3)
What are the substitutes for the B-blocker (2)
Aspirin
ACE
B-blocker // Ca Blockers // Statin
What is a factor Xa inhibitor that can be given in MI / ACS
Fondaparinux
What are the complications of MI / ACS (8)
C PEAR DRoP
Cardiac Arrhythmia
Pericarditis
Emboli
Aneurysm Formation
Rupture of Ventricle Wall
Dressler’s syndrome
Rupture of Free wall of ventricle
o
Papillary muscle rupture
What is Dressler’s syndrome
AI pericarditis 2-10wks post MI
