Acute Medical Presentations — Flashcards

Flashcard 311: For the initial management for ACS/chest pain, morphine is used if _____

Answer: patient is in severe pain

Flashcard 312: Which area is affected in leads II, III, aVF? _____

Answer: Inferior MI

Flashcard 313: Which artery is associated with lateral myocardial infarction? _____

Answer: Left circumflex artery

Flashcard 314: _____ troponin levels points towards NSTEMI Normal troponin levels points towards unstable angina

Answer: Elevated

Flashcard 315: Nitrates for ACS are contraindicated in _____ patients

Answer: hypotensive

Flashcard 316: What are the initial investigations for a patient presenting with ACS/chest pain? _____

Answer: ECG & troponin (biomarker of cardiac injury)

Flashcard 317: In a posterior myocardial infarction, ST-elevation is typically seen in leads _____.

Answer: V7-V9

Extra: On a standard 12-lead ECG, posterior MI is characterized by reciprocal changes in leads V1-V3: - Horizontal ST-depression - Tall, upright T waves - Tall R waves (R/S ratio >1 in V2)

Flashcard 318: Modifiable risk factors for ischaemic heart disease include _____, hypertension, hypercholesterolemia, diabetes mellitus, obesity, & low physical activity

Answer: smoking

Flashcard 319: Non-modifiable risk factors for ischaemic heart disease include _____, male, and family history

Answer: age

Flashcard 320: Acute coronary syndrome presents with _____/left-sided chest pain which radiates to the jaw or both arms

Answer: central