Term
| What does troponin show and over what time period is it useful? |
|
Definition
| If elevated, it indicates an increased risk of MI. It rises in 6, peaks at 12 and starts to return in 72 hours. |
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Term
| What factors can cause false positives? |
|
Definition
1) Kidney disease (secrete troponin very fast
2) Chemotherapy
3) Cocaine
4) Congestive cardiac disease
5) Endurance training
6) Sepsis (organ failure)
7) Tachyarrythmia |
|
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Term
| What is the diagnostic criteria for MI? |
|
Definition
| 2 of chest pain, enzymes and an ECG |
|
|
Term
| How would you treat a STEMI? |
|
Definition
|
|
Term
| How would you treat an NSTEMI? |
|
Definition
Monitoring
Oxygen
Nitrates
Aspirin, analgesia, anti-emetic and anti-coagulant (fondaparinux)
Consider beta blocker, ACEI |
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