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Flashcards in ACS review Deck (17)
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1
Q

Old infarction shows up as

A

Pathologic Q waves

2
Q

Ischemia, ECG changes

A

ST depression; T-wave Inversion

3
Q

Acute infarction shows

A

ST Elevation

4
Q

Five medications that we should give

A

Beta Blockers; ACEI/ARBs; CCB; Anticoagulants; Statins

5
Q

If patient is in remote area, what should you consider if PCI facility not close?

A

tPA

6
Q

Morphine in ACS causes and decreases ____

A

Vasodilation ; afterload

7
Q

Nitrates decreases

A

Preload

8
Q

Beta blockers will

A

lowers sympathetic activity and oxygen demand of heart

9
Q

ACEI and ARBS

A

Decrease after load

10
Q

all ACS patients are going to SAABS

A

Statin; Aspirin, ACE/ARBs, betablocker

11
Q

Start with ACEI

A

Captopril

12
Q

Stress Test: recommended

A

known CADS, or unstable angina.

13
Q

MRI cardiac recommended: not enough evidence of cath lab.

A

Looking for aortic roots, arches issues.

14
Q

Cath recommended for

A

STEMI

15
Q

TIMI score: risk stratification for Cath lab

A
  1. Greater than 65
  2. HLD, HTN, family history of CAD
  3. Known coronary stenosis >50%
  4. ST segment deviation on ECG
  5. AT least two angina episodes in prior 24 hours
  6. use of aspirin 7 days prior
  7. Elevated serum troponin of CK-MB
16
Q

Indications for CABG

A

Multivessel disease
2 vessel disease if >75% LAD stenosis especially with LVSD
3 vessel disease especially with LVSD
>50% left Main stenosis
Papillary muscle rupture, VSD, carcinogenic shock, life threatening arrhythmia.
Diabetics with multivessel disease.

17
Q

Post PCI

A

EKG, ECHO, trop trending down, monitor for vascular complications:hematomas, AKI, ARRHYTHMIAS post perfusion. pseudoaneurysms, vasavagalr reaction. Cardiac diet.
start beta blockers immediately