STEMI & NSTEMI Treatment

Question 1

What 2 drugs are commonly used in the treatment of a STEMI?

Answer 1

Aspirin and Clopidogrel

Question 2

What 2 types of drugs are given intravenously in the early treatment of a STEMI?

Answer 2

Anti-emetics

Analgesia (morphine)

Question 3

When should oxygen be given to a STEMI patient?

Answer 3

If they are hypoxic

Question 4

What procedure should be carried out for a STEMI within 120 minutes of symptom onset?

What should be used if this is not possible?

Answer 4

Primary angioplasty

If not possible - thrombolysis

Question 5

What is a primary angioplasty and when should it be used?

Answer 5

A procedure in which a catheter is inserted into a blocked artery and inserts a stent through the use of a small balloon for expansion

It should be used in the treatment of a STEMI

Question 6

What type of drugs are used in NSTEMI patients to inhibit the coagulation cascade?

Answer 6

Antithrombotic drugs

Question 7

What is the preferred first agent in dual-anti platelet therapy for NSTEMI?

Answer 7

Clopidogrel

Question 8

What is the most common procedure that can be used in the treatment of NSTEMI?

Answer 8

Coronary Angiography

Question 9

What are the 4 phases of cardiac rehabilitation?

Answer 9

1. In-patient care
2. The early post discharge period
3. A structured exercise programme
4. A long term maintenance of physical activity and healthy lifestyle

Question 10

What lifestyle advice can be given for the secondary prevention of ACS?

Answer 10

• smoking cessation
• eating well
• reducing alcohol consumption
• controlling risk factors (diabetes, bp, cholesterol levels etc)

Question 11

Although limiting alcohol is recommended, what has been proven to be good for the heart?

Answer 11

A small glass of red wine a day

Question 12

What 4 types of medications can be used in the secondary prevention of ACS?

Answer 12

Aspirin
ACE inhibitors
Beta blockers
Statins