ACS — Flashcards

Flashcard 71: 1-2 vessel disease = _____ 3-vessel disease or left main disease = _____

Answer: PCI

Extra: Indications for CABG over PCI include: - Left main coronary artery disease - 3-vessel disease (especially in patients with diabetes) - 2-vessel disease involving the proximal LAD - Multivessel disease with decreased LVEF

Flashcard 72: Use fibrinolysis (tPA) if primary PCI cannot be performed within _____ minutes of first medical contact

Answer: 120

Extra: STEMI management goals: - Door-to-balloon (at PCI-capable center): 90 min - FMC-to-balloon (requiring transfer): 120 min If primary PCI cannot be performed within 120 minutes of First Medical Contact (FMC), fibrinolysis should be administered (if no contraindications and within 12 hours of symptom onset).

Flashcard 73: Non-STEMI is differentiated from unstable angina by _____

Answer: cardiac troponin testing

Extra:  https://onlinemeded.org/spa/cardiology/coronary-artery-disease/acquire?ref=anki 

Flashcard 74: What leads show ST elevations or Q waves in a lateral myocardial infarction?\n_____

Answer: I, aVL, V5, V6

Extra: https://onlinemeded.org?ref=anki

Flashcard 75: An infarction of the _____ results in an inferior wall MI, which is visualized in leads II, III, and aVF.

Answer: RCA

Flashcard 76: Should someone with ST segment elevation and widened mediastinum get thrombolytics? _____

Answer: No

Extra:  https://onlinemeded.org/spa/surgery?ref=anki 

Flashcard 77: _____ angina = chest pain during exertion and relieved with rest _____ angina = chest pain during rest or ↑ frequency/intensity with minimal exertion

Answer: Stable

Extra:  https://onlinemeded.org/spa/cardiology/coronary-artery-disease/acquire?ref=anki 

Flashcard 78: Is aspirin given before or after tPA for MI? _____

Answer: Before

Extra:  https://onlinemeded.org?ref=anki 

Flashcard 79: What is atypical angina? _____

Answer: 2/3 characteristics of classic angina

Extra:  https://onlinemeded.org/spa/cardiology/coronary-artery-disease/acquire?ref=anki 

Flashcard 80: Patient presents with chest pain and ST depressions on ECG with either: (-) troponins: _____ (+) troponins: _____

Answer: Unstable angina

Extra: https://onlinemeded.org/spa/cardiology/coronary-artery-disease/acquire?ref=anki