Myocardial infarction II Flashcards Preview

Year 2 Cardiovascular > Myocardial infarction II > Flashcards

Flashcards in Myocardial infarction II Deck (12):
1

what are the three main classes of medical therapy for MI?

antiplatelet
anticoagulant
anti-ischemic

2

everyone with chest pain gets what four treatments?

oxygen
aspirin
sublingual NTG
anticoagulant

3

what is the result of an NSTEMI?

ruptured / eroded plaque with acute thrombus formation and INCOMPLETE obstruction of blood flow

4

thrombolytics are contraindicated in what type of clot?

platelet rich white clot

5

what is the initial management for medically refractory ischemia / symptoms and hemodynamic / electrical instability?

ASA
P2Y12 inhibitors
anticoagulants
beta blockers
nitrates
statins
cardiac catheterization within 24-48 hours

6

what is the most sensitive lead for a RV MI?

V4R

7

what is the time frame for lytic therapy in STEMI?

30m

8

what is the time frame for balloon therapy for PCI?

90 m

9

what are the absolute contraindications for thrombolytic therapy?

prior intracranial hemorrhage
known cerebral vascular lesion
known malignant intracranial neoplasm
ischemic stroke within 3 months
suspected AAA
active bleed
closed head wound
intracranial or intraspinal surgery within 2 months
severe uncontrolled HTN

10

where does damage occur first in NSTEMI?

site furthest from blood flow, in the subendocardium

11

post MI care is dictated based on what factors?

EF
CV risk factors
education

12

what are the post MI medical therapies?

aspirin for life
P2Y12 inhibitor (clopidogrel, ticagrelor) for 1 year
beta blocker
ACE inhibitor
aldosterone antagonist if EF less than 40%
statins
NTG
1 week follow up