Flashcards in MI Deck (23):
do ACS occur due to vulnerable plaque disruption or progerssive arterial narrowing?
vulnerable plaque disruption
what is the leading cause of death in women?
which killip classification? no rales, no S3, mortality 8
which killip classification? rales over less than 50% or S3, mortality 30
which killip classification? rales over >50%, mortality 44
which killip classification? cardiogenic shock, mortality 80-100
when does troponin peak with AMI?
how long does cTnI stay elevated/
how long does cTnT stay elevaetd?
when does CNMB peak?
when does CKMB exceed normal range and return to normal?
exceeds normal range 4-8 hrs, returns to normal 2-3 days
what does MONA stand for?
morphine, oxygen, nitro, ASA
when would sublingual NTG be contraindicated?
(2) concern for RV MI
AV block is uncommon in what type of MI?
AV block is transient in what type of MI?
constellation of JVD, hypotension, and clear lung fields; need to avoid NTG & use caution with BB
RV inferior wall MI
what is the commit trial?
showed that BB use in management of MI-->less arrhythmias, reinfarction and myocardial rupture but more cardiogenic shock.
what meds for post MI med tx?
ASA for life
P2Y12 inhib for 1 yr (clopidogrel or ticagrelor)
hypotension, elevated neck veins, clear lung fields, after inferior STEMI could be?
right ventricular infarct
how to look for right ventricular infarct?
how to tx right ventricular infarct
avoid preload reduces (NTG), use caution w/ BB
caused by nonocclusive platelet rich white thrombus