ACS Flashcards

1
Q

what is ACS

A

Acute Coronary Syndrome is an umbrella term for a spectrum of clinical presentations

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2
Q

what is the common pathology of ACS

A

ruptured plaque within a coronary artery lewding to thrombosis and flow limitation

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3
Q

what is unstable angina

A

worsening of angina symptoms, especially during minimal exertion and even at rest.

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4
Q

who can experience unstable angina

A
  • people with previously stable symptoms
  • people without any previous issues
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5
Q

what is a STEMI

A

ST Elevation MI
- charactersied by ECG change
- PTs tend to present with prolonged chest pain at rest
- troponin is raised

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6
Q

What is an N-STEMI

A

Non ST Elevation MI
- PTs generally had prolonged chest pain at rest
- pain can come upon excertion but not relieved with GTN or rest
- troponin is raised

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7
Q

difference between STEMI and N-STEMI

A

NSTEMI
- MI has caused damage but NOT caused significant damage to myocardium

STEMI
- MI has caused damage significantly to MI; rhythm of heart conduction has changed, showing on ECG

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8
Q

what can an MI sometimes be mistaken for

A

indigestion/acid reflux

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9
Q

what is atherosclerosis

A

a build up of plaque in the arteries

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10
Q

what is tamponade

A

build up of fluid around the heart within the pericardial sac

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11
Q

what is pericarditis

A

inflammation of the pericardium

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12
Q

what are cardiac markers

A

enzymes which are testing in the blood that can indicate tissue damage

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13
Q

what is cardiac monitoring

A

a device which continuously monitors the conduction of the heart

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14
Q

what does GTN mean?

A

Glyceryl trinitrate

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15
Q

what does GTN do?

A

dilates blood vessels to increase blood supply to the heart and thus reducing angina

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16
Q

what is the max dose of GTN during an angina attack

A

2 doses

17
Q

side effects of GTN

A
  • hypotension
  • headaches
  • dizziness
  • facial flushing