Tests Flashcards
1
Q
Increased troponins
A
Indicates necrosis of heart tissue (up to two wks prior), takes 12h for levels to express, i.e early troponin testing is pointless.
Increased troponins = Myocardial infarction, but can also be any other heart necrosis, myo/pericarditis, etc.
2
Q
ECG changes
A
Acute coronary syndrome i.e angina or MI - angina will have no T wave or ST changes and no troponin change
ST elevation, 2mm in chest or 1mm in limb = STEMI etc.
3
Q
Troponin and ECG normal
A
Endoscopy to confirm oesophagitis or spasm
Chest Xray/angiogram to check PI, pneumothorax, aneurism etc.
4
Q
Normal troponin, ECG and Chest Xray
A
Mechanical pain, esp. if responding well to simple analgesia
