Acute Chest Pain Flashcards

1
Q

Mi

Clinical features

A

Left sided chest pain

Aortic stenosis or mitral regurgitation
Pulmonary Oedema

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2
Q

Mi
Stemi
Investigations and management

A

Ecg
Echo
Lifestyle management
Clopidogrel for patients with raised troponin
Bets blockers, statins and ace inhibitors
Thrombolysis with fribrolytic drugs or primary angioplasty: administration of anti platelet drugs

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3
Q

Mi

NSTEMI management

A

Clopidogrel, aspirin and oxygen immediately

Low molecular weighted heparin

Ongoing pain may require chest pain and nitrates

Coronary angiography may be required for those with elevated troponin

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4
Q

Myocardial Infarction

Definition

A

Stemi:
Elevates serum troponin without st segment elevation
Nstemi: same with Segment elevation

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