ACS

Question 1

TIMI Score (7)

Answer 1

1. Age ≥65 years
2. Presence of at least three risk factors for CHD
3. Prior coronary stenosis of ≥50 percent
4. Presence of ST segment deviation on admission ECG
5. At least two anginal episodes in prior 24 hours
6. Elevated serum cardiac biomarkers
7. Use of aspirin in prior seven days

Question 2

TIMI Score - purpose

Answer 2

predictive of outcome in patients with UA or NSTEMI

Question 3

Killip class - purpose

Answer 3

categorizes patients with an acute MI based upon the presence or absence of simple physical examination findings that suggest LV dysfunction

Question 4

Killip class - 4 classes

Answer 4

1. Class I - no evidence of HF
2. Class II - findings consistent with mild to moderate HF (S3, lung rales less than one-half way up the posterior lung fields, or jugular venous distension)
3. Class III - overt pulmonary edema
4. Class IV - cardiogenic shock

Question 5

GRACE risk models - purpose

Answer 5

risk of in-hospital and six-month mortality among all patients with an ACS. STEMI & NSTEMI patients

Question 6

GRACE risk models (8)

Answer 6

1. Age
2. Killip class
3. Systolic blood pressure
4. Presence of ST segment deviation
5. Cardiac arrest during presentation
6. Serum creatinine concentration
7. Presence of elevated serum cardiac biomarkers
8. Heart rate

Question 7

Chest Pain - DD

Answer 7

1. ACS
2. Muscoloskeletal
3. Aortic Dissection
   4.