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Flashcards in 5 Cardiology - ACS Deck (18):
1

Initial symptoms of ACS

Chest pain
Raised cardiac markers
ECG chanfes

2

There is a large variation in patient capacity to activate which antiplatelet

clopidgrel

3

ACS is caused by....?

disruption or rupture of an arthersclerotic plaque

4

UA and NSTEMI result from...
STEMI results from...

partially occlusive thrombus

STEMI is from an occlusive thrombus

5

2 cardiac markers

Troponin (TnT and Tnl)
Creatanine kinase - may also rise from exercise!

6

What is PCI?

percutaneous coronary intervention - opening up vessels using balloons and stents

7

Does t-PA help in MI?

reduced mortality in STEMI not NSTEMI.

Superseded by PCI

8

What are glycoprotein 2B/3A inhibitors

antiplatelets used in NSTEMI and UA in pt with high risk factors

e.g. abciximab, tirofiban

9

What are glycoprotein 2B/3A inhibitors

antiplatelets used in NSTEMI and UA in pt with high risk factors

e.g. abciximab, tirofiban

10

After MI patients should be offered (2)

cardiac rehabillitation
advice on modifiable risk

11

4 drugs everyone gets post MI

Antiplatelet
Statin
ACEi
Beta

Depending on diagnosis:
-Clopidogrel/ticagrelor/prasugrel
-Aldosterone antagonsits

12

What antiplatelets are given post MI

-Aspirin 75mg lifelong
-Second antiplatelet for 12 months after NSTEMI or PCI
Clopidogrel, ticagralo and prasagrel (STEMI only)

13

Advantage/disadvantage of prasugrel/ticagralor over clopidogrel?

Clop - less bleed risk but less predictable effect

14

What statin to offer post MI

Atrovastatin 80mg

15

How do Beta blockers help?

-Reduce myocardial contractility and oxygen demand
-Reduces blood pressure spikes in stress
-Reduces risk of arrhythmia

16

When there is a dray cough change ACEi to

ARB

17

When are aldosterone agnists recommended?

s

18

When are aldosterone agnists recommended?

Evidence of HF post MI (ejection fraction