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Flashcards in MI Deck (23):
1

do ACS occur due to vulnerable plaque disruption or progerssive arterial narrowing?

vulnerable plaque disruption

2

what is the leading cause of death in women?

heart disease

3

which killip classification? no rales, no S3, mortality 8

class 1

4

which killip classification? rales over less than 50% or S3, mortality 30

class 2

5

which killip classification? rales over >50%, mortality 44

class 3

6

which killip classification? cardiogenic shock, mortality 80-100

class 4

7

when does troponin peak with AMI?

24-48 hrs

8

how long does cTnI stay elevated/

5-10 days

9

how long does cTnT stay elevaetd?

10-14 days

10

when does CNMB peak?

24 hrs

11

when does CKMB exceed normal range and return to normal?

exceeds normal range 4-8 hrs, returns to normal 2-3 days

12

what does MONA stand for?

morphine, oxygen, nitro, ASA

13

when would sublingual NTG be contraindicated?

(1) hypotensive
(2) concern for RV MI

14

AV block is uncommon in what type of MI?

anterior

15

AV block is transient in what type of MI?

inferior

16

constellation of JVD, hypotension, and clear lung fields; need to avoid NTG & use caution with BB

RV inferior wall MI

17

what is the commit trial?

showed that BB use in management of MI-->less arrhythmias, reinfarction and myocardial rupture but more cardiogenic shock.

18

what meds for post MI med tx?

ASA for life
P2Y12 inhib for 1 yr (clopidogrel or ticagrelor)

19

hypotension, elevated neck veins, clear lung fields, after inferior STEMI could be?

right ventricular infarct

20

how to look for right ventricular infarct?

leaf v4R

21

how to tx right ventricular infarct

avoid preload reduces (NTG), use caution w/ BB

22

caused by nonocclusive platelet rich white thrombus

NSTEMI

23

caused by occlusive fibrin rich red thrombus

STEMI