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26 Cards in this Set
- Front
- Back
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group of clinical symptoms compatible with acute MI; manifested by chest pain
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Acute Coronary Syndrome
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most common cause of unstable angina?
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reduced blood flow to the heart muscle bc of athersclerosis
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prinzmetal angina caused by..
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coronary artery spasm
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what should pts with chest pain do?
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immediately stop activity and sit down
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Nitroglycerin admin
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give every 5 min
1, 2, call 911, 3 |
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burns or tingles under tongue, bad HA
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nitro
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nitro expires when?
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after opened 30 days
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heavy feeling on their chest
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morphine
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critical imbalance of oxygen demand and supply, causes rapid necrosis due to blockage
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MI
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body releases this after acute MI, normal levels are 0.
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troponin 1
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MI ECG
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ST elevated
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nausea, dizzy, vomit
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inferior MI, back of heart
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resp distress, SOB, anxiety
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increase demand of O2, HF
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diabetic vs cardiac?
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ECG then BG
skin clammy, cold, wet, ashen |
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infarction through the entire muscle
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STEMI- ST elevated
acute MI |
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infarction through the portion of the muscle
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NSTEMI- ST depressed
injury has already occured |
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extremely high T
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hyperkalemia
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depressed T
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lack of O2
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ECG returns to normal except for Q wave present
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necrotic
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Troponin peaks..
CKMB peaks... Myoglobin peaks... |
peaks 12 hr, goes away 15 days
peaks 24 hr, goes away 2-3 days peaks 30 min, not just MI |
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looks at electric component of heart
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Echocardiography
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Cardiac Cath enters
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coronary sinus to look at coronary arteries
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use what arteries to enter cardiac cath
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brachial and radial
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PCI performed when? what does it do?
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within 90 min of presentation
smushes plaque |
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fibrinolytic therapy
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ideally within 1 hr, usually within 6
breaks up clots, not cardiac specific |
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most common regurgitation
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mitral
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