Created by brittny beauford
over 7 years ago
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Leading cause of death in the US?
Most common type of cardiovascular disease?
______________ (CRP) – marker of inflammation. Chronically elevated CRP associated with unstable plaques. _________ often given to these patients
Goals for Ideal CV Health for Adults 20 years and older
Pathophysiology ACS specific to OCCLUSION
Pathophysiology ACS specific to VASOSPASM
Management of ACS
Managment of ACS
STEMI vs NSTEMI
ACS time frame:
Door to needle____
Door to ballon____
What should be administer for a patient with chest pain after a history and focus physical exam?
Acute Coronary Syndrome:
work up includes completed H&P, Trop I, CK MB, EKG
what do these findings indicate:
No ST-segment elevation
Neg Markers
Acute Coronary Syndrome:
work up includes completed H&P, Trop I, CK MB, EKG
what do these findings indicate:
No ST-segment elevation
Pos Markers
Acute Coronary Syndrome:
work up includes completed H&P, Trop I, CK MB, EKG
what do these findings indicate:
ST-segment elevation
Pos Markers
Difference between how men and women present with ACS/MI
women
What in the heck differentiates stable and unstable angina??
Difference between how men and women present with ACS/MI
Men
What’s the Evidence for Women with ACS?
Tx of MI in ED
Patient History and
Physical Exam with ACS/MI
The million other things chest pain could be besides an MI
(reference not memorization)
EKG and MI
ST DEPRESSION tend to imply
ST ELEVATION tends to imply
Anterior STEMI results from occlusion of the ________________
Anterior myocardial infarction CARRIES THE ______ PROGNOSIS of all infarct locations, mostly due to larger infarct size.
ST SEGMENT ELEVATION IN THE ______LEADS AND THE ________ LEADS
__________MI account for 40-50% of AMIs
USUALLY OCCURRING IN THE________
Inferior MI ST ELEVATION IN LEADS_________
Pharm management in MI
first medication priority and why
Pharm management of MI and why
Considerations with pharm management in a MI patient
Cardiac Markers:
________ is the preferred biomarker!
HOW TO PROPERLY MONITOR TROPONIN
OTHER CAUSES OF ELEVATED TROPONINS
Other cardiac markers:
What are they? What do they measure?
What is BNP?
WHAT DOES IT TRIGGER?
KEY COMPONENTS OF RELIABLE EVIDENCE BASED ACUTE MI CARE
(7 steps)
If a patient has 2 sets of negative cardiac enzymes and no significant ECG changes he/she will be sent for some form of direct evaluation of the heart
What will this include?
OBJECTIVES OF EXERCISE STRESS TESTS
LIMITATIONS OF THE EXERCISE STRESS TEST
What would make us want to immediately stop a stress test?
When to use a chemical stress tests?
Pharmacologic Stress Test:
Uses___________,___________, or____________ which:
If the stress test is positive then the patient will be sent for a ________ _______ where direct visualization of the______ arteries can be done. If significant occlusions are noted, they are opened with______ and possible stent placement whenever possible
stable vs unstable angina