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10 Cards in this Set

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The 3 types of ACS.
Unstable Angina and Myocardial Infarction (NSTEMI/STEMI)
What determines the vulnerability of plaque rupture?
thickness of the fibrous cap
What is the mechanism that causes ACS?
Plaque rupture followed by thrombotic occlusion either partial or completely. Severity of the occlusion will determine which of the 3 distinctions is present.
Why is morphine problematic in ACS?
Pain relief but may mask symptoms necessary for proper treatment.
True/False - Clopdogrel & ASA help reduce mortality rates in ACS.
True
Which class of Lipid lowering drug is now routinely prescribed during discharge even with no evidence of high LDL?
Statins
What are the Discharge ABCs?
Aspirin: Anticoagulants
Beta blockers: Blood Pressure
Cholesterol: Cigarettes
Diet: Diabetes
Education: Exercise
TRUE/FALSE - With STEMI, the time of reperfusion from door to ballon after symptom onset is of paramount importance.
True - post 2 hours has increased mortality
In deciding between Fibrinolysis and PCI in regards to time, what should be considered?
if Door-to-balloon time is > than 90 minutes OR if PCI will be > 1 hour versus fibrinolysis (fibrin-specific agent) now THEN CHOOSE FIBRINOLYSIS!
Name some contraindications to Fibrinolytic use in STEMI.
Active hemmorage, previous ICH, previous stroke in last 3 months, suspected aortic dissection