Acute Medical Presentations — Flashcards

Flashcard 301: _____ management is determined by a risk assessment score such as GRACE

Answer: NSTEMI/unstable angina

Flashcard 302: If there is persistent myocardial ischaemia after fibrinolyis, then consider _____ management

Answer: PCI

Flashcard 303: Chest X-ray of a patient with aortic dissection shows _____ widening

Answer: mediastinal

Flashcard 304: A patient with NSTEMI/unstable angina should have immediate coronary angiography→PCI if they are _____

Answer: hypotensive / unstable

Flashcard 305: Initial management for NSTEMI/unstable angina includes _____ & fondaparinux if ↓ bleed risk and angiography is not being immediately performed

Answer: aspirin 300mg

Flashcard 306: For the initial management of ACS, oxygen is indicated if the patient has O2 saturation < _____%.

Answer: 90

Extra: In ACS, routine oxygen therapy in normoxic patients can cause hyperoxia, which leads to coronary artery vasoconstriction and potentially increases infarct size. Target SaO2 is typically 90-94% (or 88-92% in COPD).

Flashcard 307: STEMI is managed with _____ if the patient presents within 12 hours of symptom onset and PCI can be performed within 120 minutes

Answer: PCI

Flashcard 308: _____ is a group of conditions caused by sudden decrease in blood flow to the heart - STEMI - NSTEMI - Unstable angina

Answer: Acute coronary syndrome (ACS)

Flashcard 309: Which artery is associated with anterior myocardial infarction? _____

Answer: Left anterior descending (LAD) artery

Flashcard 310: STEMI diagnostic criteria includes clinical symptoms lasting ≥ _____

Answer: 20 minutes