STEMI Flashcards
1
Q
Mechanism of STEMI
A
If
2
Q
after STEMI:
If EF <40% + HF:
A
ACE-In
Or
Arbs (if w Acei contraindications)
3
Q
Ventricular remodeling with overall chamber enlargement is riskier when greAter dilation is located at
A
Anterior wall
Apical LV wall
4
Q
Primary cause of IH HOSPITAL DEATH
A
PUMP FAILURE
5
Q
Most common clinical signs of pump failure
A
Rales
S3 and S4 gallop sounds
6
Q
Mortality rate of KILLIPS class I no signs of pulmonary or venous congestion
A
0-5%
7
Q
Mortality rate of KILLIPS class II MODERATE HF (basal rales, S3, tachypnea or signs of RV failure : venous and hepatic congestion)
A
10-20%
8
Q
Mortality rate of KILLIPS class III
Severe heart failure
Pulmonary Edema
A
35-45%
9
Q
Mortality rate of KILLIPS class IV: Shock with sbp <90mmhg + SSX of peripheral vasoconstriction, cyanosis, mental confusion and oliguria
A
85-95%
10
Q
What is the extent of infaction if with hemodynamics evidence of abnormal global LV function
A
20-25%
11
Q
What is the extent of infaction if with cardiogenic shock ?
A
More than or equal to 40%
12
Q
If with INCREASED LV filling pressure >22mmhg and Normal cardiac index (2.6 x 3.6 L/(min/m2))
A
Give DIURETICS
