Term
| How do you differentiate a NSTEMI from Unstable Angina |
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Definition
| NSTEMI has elevated biochem markers |
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Term
| How does Unstable Angina present differently than Stable Angina |
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Definition
Unstable: Lasts longer than 10 minutes
Severe-New Onset
Crescendo Pattern
Not typically relieved by Nitro |
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Term
| What type of patients more commonly have silent ischmic episodes |
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Definition
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Term
| How do STEMI's and NSTEMI/Unstable Angina appear differently on EKG |
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Definition
STEMI: Hyperacute T-Waves followed by ST Elevation
NSTEMI: ST depression with Inverted T-waves |
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Term
| What is the timing of Troponin and CK-MB rise after an MI |
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Definition
Troponin: Rise @ 3-5 hrs, Remain for 7-10 days
CK-MB: Rise @ 4-8 hrs, Remain for 48 hrs |
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Term
| Risk Stratification for CAD by AHA/ACC |
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Definition
High: Bioenzymes, Prior Angio, ST elevation, Classic with high risk, CHF, Prior MI
Intermeadiate: >70, DM, Male, Old EKG, PAD/Cerebral AD, Classic w/o High risk |
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Term
| What is the Initial Management of any patient suggestive of a Acute Coronary Syndrome |
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Definition
Morphine
O2
Aspirin
Nitro
EKG
Enzymes |
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Term
| Unstable Angina/NSTEMI treatment after Diagnosis |
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Definition
Nitrates/B-block
Antiplatelet/Anticlotting
No thrombolytics
Recurrent/Persistant Sympt Patients-> Do Angio |
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Term
| Follow up treatment after STEMI Diagnosis |
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Definition
Pain Relief: Morphine, Nitro, B-block, Aspirin, Ace if CHF
Primary percutaneous Intervention: if within 90 minutes and not >70 or Cardio Shock
Thrombolytics: Within 12 hours if Primary not possible and not contraindicated |
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Term
| What are the complications of an MI |
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Definition
Electrical: Arrhythmias, Branch Blocks, Brady arrhythmia(Inferior infart)
Mechanical: LV failure, RV Failure, Mitral Regurg, Rupture
Dressler's Syndrome |
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