Term
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Definition
Right Coronary Artery (RCA)
Left Coronary Artery (LCA)
Left Anterior Descending Artery (LAD)
Left Circumflex Artery (LCX) |
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Term
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Definition
Feeds posterior(Inferior) wall of myocardium, the AV node, and the SA node
Lead changes in II,III, and aVF
It can also feed the right ventricle in which you would see EKG changes in V3- 4R
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Term
Left Anterior Descending Artery
(LAD)
aka Widow Maker |
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Definition
Feeds the Anterior portion of the myocardium and the Septal wall
Lead changes in V1, V2, V3, V4 |
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Term
Left Cicumflex Artery
(LCA) or (CA) |
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Definition
Feeds the later wall of the myocardium
Lead changes in I, aVL, V5, and V6 |
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Term
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Definition
| Beats intrisically at 60-100 BPM |
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Term
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Definition
| Beats intrinsically at 40-60 BPM |
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Term
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Definition
5-6 L/min
Voulume of blood that is ejected by the heart over a minute |
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Term
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Definition
2.5-4.5 L/min/m2
It is the cardiac output of the patient divded by the patient's body surface area |
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Term
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Definition
| Up to the point of 30ml/kg and patient remain hypotensive at MAPs <65 mm/Hg then vasopressors should be indicated |
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Term
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Definition
Diastolic pressures exceeeding 120 mm/hg
LOC, disorientations
Seizures
Severe Headaches and visual disturbances
Epitaxis |
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Term
| Controlling Hypertensive Crisis |
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Definition
Do NOT reduce pressure more than 25% in the first one to two hours of presentation
Potent Vasodilators: Nitroprusside (Nipride), Hydralazine, Fenoldopram mesylate (Corlopam),
Calcium Channel Blockers: Nicardapine (Cardene), Amlodipine
Nitroglycerin
Ace Inhibitors
Beta Blockers
Diuretics |
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Term
|
Definition
"lol" drugs
Labetalol
Esmolol
Metoprolol
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Term
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Definition
"dipine"
Nicardipine (Cardene)
Amlodipine |
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Term
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Definition
"pril"
lisinopril
catopril
enalapril
enalaprilat |
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Term
ACS
(acute cornary syndrome) |
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Definition
Unstable Angina, NSTEMI, or STEMI
MONA: morphine, oxygen, nitroglycerin, ASA
Cardiac biomarkers and EKG
Antiplatelets: ASA 81 mg or clopidogrel (Plavix) 75 mg daily
PCI, PTCA, CABG |
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Term
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Definition
Chest pain lasting longer than 20 mn at rest or new chest pain
No elevation in cardiac biomarkers or EKG changes
Put on antiplatelet therapy and sent home on ACEs or ARBs
Possible workup for cardiac cath |
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Term
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Definition
Troponin T and I levels are more than 0.1ng/mL
Present 8 to 12 hours after onset of symptoms and trended for 24 to 36 hours
Can have ST depression or inverted T's due to cell ishemia |
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Term
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Definition
Door to balloon standard is 90 mins
Can have abnormal Q waves greater than 0.04 secs in durations and 25 percent at the height of R wave develops within the first 24 hours
Beta Blockers stardard treatment
Patients with reduced EFs should be sent home on ACE or ARBs |
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