Flashcards in MI Cases- Leah (3) Deck (8)
Initial management of chest pain in the ER?
Drugs + what should you DO?
Nitroglycerin; (unless HYPOtensive patient/inferior wall infarct)
+ EKG, troponins, Call cath lab
When are thrombolytics the standard of care for acute MI?
-Only when you cannot get the patient into a cath lab within two hours
-Otherwise, cath/angioplasty are the standard of care
What are long term treatments for MI?
(^^^*Winning* - this makes me so happy :) )
-Statins (prevent plaques, prevent inflammation)
-Anti-coagulants (if patient got stent)
-ACEi (prevents ventricular remodeling)
Acute coronary syndrome criteria
Must meet 2/3:
TMI Risk score for NSTEMI
T-timing in last 24 hours
H- history of CAD known
R- risk factors for CAD (3 or more)
E- EKG change
A-aspirin use in last 24 hours
T- troponins elevated
S-sixty five or older
Each risk = one point
Difference between unstable angina and MI:
Just troponins (bc cell death)
-unstable angina will have normal troponins, MI will not
What is broken heart syndrome?
Stress cardiomyopathy; diffuse vasospasm
Thought to be brought on by hormone surge
Does not increase risk of MI
**Do spill troponins and see EKG changes
Treat like MI until proven otherwise.