Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
14 Cards in this Set
- Front
- Back
|
Risk factors that you MUST ask
• Smoker • HTN • Elevated _______ • Elevated _____ • Family history of coronary disease • Past history of CAD • What disease? |
cholesterol
CRP Diabetes |
|
|
If someone has a clear exam, no angina - why is it not ok to send them home? What should you check first?
|
SEND HOME BASED ON HISTORY!!
get baseline EKG at least |
|
|
Types of Angina
less predictive of coronary artery disease in women (pretest probability is 50 to 60 percent in women versus 80 to 99 percent in men Can be very frequent and still this type |
Stable angina
|
|
|
Types of Angina
Associated with ST elevations Occurs at rest, night, rarely with exercise |
Prinzmetal's
|
|
|
Types of Angina
•Increasing duration, frequency, or intensity •New associated symptoms •Occurring with increasingly less activity |
Unstable Angina
|
|
|
Which type of MI has Q waves developing on the ECG?
|
STMI (S-elevated MI)
|
|
|
What type of MI has Q waves developing on the ECG?
|
STMI (ST-elevation MI)
|
|
|
Which type of MIs do well initially but have a high short term (week(s) to months) mortality
|
NSTMI (non-st elevated mi)
|
|
|
True/False Abdominal pain could be an MI
|
True - often time Malox even relieves pain
|
|
|
Initial EKG is normal in __% of patients
|
30%
|
|
|
For CK-MB testing you are looking at the ___
|
ratio (CK compared to CK-MB). test twice 3 hours apart
|
|
|
• Rises like CPK-MB but remains elevated longer and is more sensitive for revealing ischemia. 90+% after 8 hrs.
|
Troponin I or T
|
|
|
What is used for this reason Specifically: if no wall motion abnormality there is a low probability of ongoing ischemia. Not very useful however in old people – can’t tell if its new or old
|
Echo
|
|
|
To dx MI you must have 2 of the following:
______ symptoms Changes in the ___ elevated markers |
Ischemic
ECG |
