Therapeutics Of ACS Flashcards
What conditions ⬇️ O2 supply?
Anaemia
Aortic valve stenosis
Atherosclerosis
Coronary artery spasm
What re the branches of the R C artery?
Circumflex
L anterior descending
What condition cause ⬆️ O2 demand?
Cocaine
Beri beri
Thyrotoxicosis
What % of an artery needs to be blocked before ischaemia symptoms present?
70%!!
What u seen in the ECG of a patient with ACS?
ST elevation
ST depression
What dermatome is responsible for pain radiating to the arm in chest pain?
Efferent parasympathetic
T1 dermatome
What biomarkers are used to diagnose ACS?
Troponin I & T
What are the 3 subunits of troponin?
C, I & T
What are the critical values if Troponin I & T?
TnI: >1.5 ng/mL
TnT: >0.1 ng/mL
Complication of ACS
Death (10%) Arrhythmia Further ischaemia or infarction ❤️ failure Structural defect (rupture/ aneurysm) VTE CVA/TIA
VTE
?
CVA/TIA
?
Treatment for ACS?
M[O]NA:
Morphine
O2
Nitrates
Aspirin
Name some non traditional risk factors for IHD?
RA
COPD