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Flashcards in ACS review Deck (17)
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1

Old infarction shows up as

Pathologic Q waves

2

Ischemia, ECG changes

ST depression; T-wave Inversion

3

Acute infarction shows

ST Elevation

4

Five medications that we should give

Beta Blockers; ACEI/ARBs; CCB; Anticoagulants; Statins

5

If patient is in remote area, what should you consider if PCI facility not close?

tPA

6

Morphine in ACS causes and decreases ____

Vasodilation ; afterload

7

Nitrates decreases

Preload

8

Beta blockers will

lowers sympathetic activity and oxygen demand of heart

9

ACEI and ARBS

Decrease after load

10

all ACS patients are going to SAABS

Statin; Aspirin, ACE/ARBs, betablocker

11

Start with ACEI

Captopril

12

Stress Test: recommended

known CADS, or unstable angina.

13

MRI cardiac recommended: not enough evidence of cath lab.

Looking for aortic roots, arches issues.

14

Cath recommended for

STEMI

15

TIMI score: risk stratification for Cath lab

1. Greater than 65
2. HLD, HTN, family history of CAD
3. Known coronary stenosis >50%
4. ST segment deviation on ECG
5. AT least two angina episodes in prior 24 hours
6. use of aspirin 7 days prior
7. Elevated serum troponin of CK-MB

16

Indications for CABG

Multivessel disease
2 vessel disease if >75% LAD stenosis especially with LVSD
3 vessel disease especially with LVSD
>50% left Main stenosis
Papillary muscle rupture, VSD, carcinogenic shock, life threatening arrhythmia.
Diabetics with multivessel disease.

17

Post PCI

EKG, ECHO, trop trending down, monitor for vascular complications:hematomas, AKI, ARRHYTHMIAS post perfusion. pseudoaneurysms, vasavagalr reaction. Cardiac diet.
start beta blockers immediately