Acute Medical Presentations — Flashcards

Flashcard 331: Which area is affected in leads V1-V4?\n_____

Answer: Anteroseptal MI

Flashcard 332: Which ECG changes are associated with a lateral myocardial infarction? _____

Answer: I, aVL, V5-V6

Flashcard 333: 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 334: Acute coronary syndrome presents with _____/left-sided chest pain which radiates to the jaw or both arms

Answer: central

Flashcard 335: 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.

Flashcard 336: _____ stents are now the preferred stent type for PCI

Answer: Drug eluting

Flashcard 337: Patients receiving fibrinolysis for STEMI should also receive an _____ drug

Answer: antithrombin

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

Answer: II, III, aVF

Flashcard 339: An aortic dissection is defined as a tear in the _____ of the aorta

Answer: tunica intima

Flashcard 340: How are basic obs (BP, HR, temp, O2 sats) altered in ACS? _____

Answer: Generally normal