MI

Question 1

Apart from MI, what other heart conditions make up the ‘acute coronary syndromes’?

Answer 1

STEMI

Non-STEMI

Unstable angina

Question 2

What is the cause of an MI?

Answer 2

Rupture of an atherosclerotic plaque

Question 3

What are the symptoms of an MI?

Answer 3

Nausea

Sweating

Palpitations

Crushing chest pain

Question 4

What are the clinical signs indicating MI?

Answer 4

RIP

R - Raised JVP

I - Increased pulse

P - Pallor

Question 5

What investgations would you perform in a suspected MI and what might they show?

Answer 5

ECG - ST elevation

CXR - Cardiomegaly

Bloods - Troponin levels raised

Angiogram

Question 6

How is an MI treated conservatively?

Answer 6

Smoking cessation

Reduced weight

Increased exercise

Question 7

How are MI’s treated medically?

Answer 7

MONA B

M - Morphine

O - Oxygen

N - Nitrates (GTN spray)

A - Anticoagulants (aspirin)

B - Beta-blockers

Question 8

On which medication should all MI patients be put on after discharge?

Answer 8

ACE-i’s

Aspirin

Beta-blockers

Question 9

What are some of the complications of MI’s?

Answer 9

PEAR

P - Pericarditis

E - Emboli

A - Aneurysms

R - Rupture of ventricle