Acute Coronary Syndrome Flashcards
Give 3 causes of raised troponin
Myocarditis Acute coronary syndrome Aortic dissection Anaemia Chronic Kidney Disease Heart failure Pulmonary Embolism
Which serum biomarker is an indicator of prognosis in ACS?
Troponin levels
Name 2 advantages of using troponin instead of other cardiac biomarkers
More specific to cardiac muscle
More long-lasting
What drugs reduce mortality and improve prognosis post-MI
B-blockers
Statins
What investigation should be done on a patient post-MI?
Echocardiogram
4 complications of STEMI
Ventricular septal defect
Ventricular wall rupture
Papillary muscle rupture i.e mitral regurgitation
Acute heart failure
Dressler’s Syndrome
Arrhythmias
Ventricular aneurysm (persistent ST segment elevation)
Give 4 indications for PCI
ST elevation > 1mm in limb leads
ST elevation > 2mm in chest leads
New LBBB
Posterior STEMI
2 contraindications to thrombolysis
Recent surgery Active bleeding Previous haemorrhagic stroke Recent trauma GI bleed < 1 month ago AV malformation
Give 2 dynamic ECG changes in an MI
Pathological Q waves
T wave inversion
Which cardiac marker rises first post-MI?
Myoglobin
Which cardiac marker is best to use to test for reinfarction?
Creatinine-Kinase MB
