ACS Flashcards

1
Q

What is ACS?

A

Acute coronary syndrome

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2
Q

What comes under ACS?

A

Unstable angina
STEMI
NSTEMI

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3
Q

What are risk factors of ACS?

A
Age
Male
Family history IHD
Smoking 
Hypertension
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4
Q

HOe is ACS diagnosed?

A

2 out of 3

  • Typical history
  • ECG changes
  • Cardiac enzyme rise
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5
Q

What are the symptoms of ACS?

A
Central/left sided chest pain
Heavy/tight pain 
Dysponea
Sweating
Tachycardia
N+V
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6
Q

What is the immediate management of ACS?

A

MONA

Morphine
Oxygen
Nitrates
Aspirin - 300mg

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7
Q

What investigations do you do for ACS?

A

Bloods

  • FBC
  • U+Es
  • troponin
  • CK

ECG
CXR

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8
Q

When does troponin peak?

A

6 hours from pain

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9
Q

How do you manage a STEMI?

A

Aspirin + clopidogrel
LMWH

PCI - ideally within 90 mins

If PCI not available - tPA

  • tenecteplase
  • alteplase
  • streptokinase
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10
Q

How do you manage an NSTEMI?

A

300mg aspirin
GP IIb/IIIa receptor antagonist - clopidogrel

Coronary angiography

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11
Q

What is secondary prevention of ACS?

A
Aspirin 
Clopidogrel 
B-blocker
ACEi
Statin
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12
Q

What is Dressler’s syndrome?

A

Autoimmune condition that occurs 2 weeks after MI

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13
Q

What are the symptoms of Dressler’s syndrome?

A

Sharp chest pain - relieved by leaning forward
Fever
Raised ESR

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14
Q

How is Dressler’s syndrome managed?

A

NSAIDs

Cultrasine

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