Non Stemo Flashcards
0
Q
Low risk patients
A
Stress in 72 hours if EKG and the markers are negative
1
Q
Incidence
A
Decreasing incidence mi and STEMI but non STEMI rates are going up
2
Q
Old age
A
High risk
3
Q
Short term high risk of death
A
Accelerating chest pain CHF Dynamic STT changes VT Positive enzymes
4
Q
Timi risk Age 65 or older 3 risk factors Prior stenosis 2 anginal events St deviation Asa use Elevated markers
A
0-- 4.7% 2-8% risk 3-13% 4-20% 5-26% 6-41%
5
Q
Grace scale
A
1-88 less than 3%
High 119-263 more than 8%
6
Q
Tropinin
A
Not normal to have a detectable levels
50% of the time mom cardiac
7
Q
USA
A
Favors early invasive therapy
8
Q
Angio max
A
2a in Unstable angina
9
Q
Triton study
A
Less mi and stroke and less stent thrombosis with effient
10
Q
Accoast study
A
Pre-treating with effient upstream no benifit
11
Q
Trilogy acs
A
Effient better than plavix
12
Q
Elective pci use pkavix only STEMI all 3 can be used After lytics only plavix Acs pretreat plavix only either 600 or 300. Triple therapy plavix only
A
Surgery early after pci
Switch all to plavix
13
Q
2b 3a
A
Only high risk for early invasive
Avoid upstream in low risk
Avoid in medical therapy
Avoid with angio max
14
Q
Anticoag
A
Enoxeparin better than UFH
