Acute Medical Presentations — Flashcards

Flashcard 331: Initial management for ACS/chest pain: M_____ Oxygen (if sats < 94%) Nitrates Aspirin

Answer: orphine (if severe pain)

Flashcard 332: What is the mnemonic for the secondary prevention of ACS/chest pain? _____

Answer: DABS

Extra: Secondary prevention of ACS focuses on reducing future cardiovascular events. Common components include: - **D**: Diet (mediterranean), Dual Antiplatelet Therapy (Aspirin + P2Y12 inhibitor). - **A**: ACE inhibitor (especially in HF/EF <40%), Aldosterone antagonist. - **B**: Beta-blockers, BP control. - **S**: Statins (high intensity), Smoking cessation.

Flashcard 333: What is the management of STEMI if PCI cannot be performed within 120 minutes? _____

Answer: Fibrinolysis

Flashcard 334: Which area is affected in leads I, aVL, V5-V6? _____

Answer: Lateral MI

Flashcard 335: Which artery is associated with posterior myocardial infarction?

Answer:

Flashcard 336: Which artery is associated with lateral myocardial infarction? _____

Answer: Left circumflex artery

Flashcard 337: Which artery is associated with anterior myocardial infarction? _____

Answer: Left anterior descending (LAD) artery

Flashcard 338: Which ECG changes are associated with an inferior myocardial infarction? _____

Answer: II, III, aVF

Flashcard 339: Secondary prevention for ACS/chest pain: D_____ ACE inhibitor Beta blocker Statin

Answer: ual antiplatelet therapy (aspirin + 2nd antiplatelet)

Flashcard 340: What demographics may NOT present with classic chest pain during ACS?\n_____

Answer: Elderly, Diabetics, and Women

Extra: Atypical presentations of Acute Coronary Syndrome (ACS) are common in: 1. Elderly patients 2. Diabetics (autonomic neuropathy) 3. Women These patients may present with dyspnea, fatigue, or epigastric pain rather than classic chest pain.