Term
| How to diagnose ST Segment Elevation Myocardial Infarction (SEMI)? |
|
Definition
Chest pain > 30 min (even after NTG administration)
ECG shows ST elevation (> 0.1 mV in 2 or more contiguous leads)
Troponin T or I elevation/CK-MB elevation
|
|
|
Term
|
Definition
MONA + GAP-BA + the option of giving thrombolytics |
|
|
Term
| What do thrombolytics do? |
|
Definition
cause fibrinolysis by binding to fibrin in a thrombus (clot) and converts entrapped plasminogen to plasmin
|
|
|
Term
| Name a thrombolytic of note |
|
Definition
Alteplase (t-PA, rt-PA, Activase)
....there are other ones, but don't worry about this |
|
|
Term
|
Definition
| Statement. Not a question. |
|
|
Term
What medications should be discontinued when a patient goes for CABG surgery |
|
Definition
clopidogrel/prasugrel 5 to 7 days before elective CABG.
IV GP IIb/IIIa inhibitor (eptifibatide/tirofiban) 4 hours before CABG
|
|
|
Term
What medications should be continued when a patient goes for CABG surgery |
|
Definition
Continue ASA
Continue UFH:
If on enoxaparin, D/C enoxaparin 12 - 24 horus prior and dose with UFH
If on fondaparinux, D/C fondaparinux 24 hours before and dose with UFH
If on bivalirudin, D/C bivalirudin 3 hours prior and dose with UFH
|
|
|
