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12 Cards in this Set

  • Front
  • Back
what are the different ways to diagnosis MI
history and clinical presentation, laboratory blood analysis, - leukocytes, erythrocytes, serum enzymes
ECG
Angiography
Cardiac Imaging
what are the biochemical markers of MI
plasma concentration of CK, LDH, SGOT
ECG in transmural (all layers of the heart) MI - acute, evolving/resolving, chronic
ST segment elevation
q wave development, st changes revert to baseline, inversion of t waves
fully developed Q wave, inverted or resolved T wave
ECG in subendocardial (surface of heart) MI
st segment depression
irregularities of ECG for:
atrial flutter
atrial fibrillation
primary AV block
Bundle branch block
increase P waves
absence of P wave, irregular QRS
prolonged PR interval
2 peaks in QRS
describe left heart failure (congestive)
block backs up into pulmonary vein and lung tissue and causes pulmonary edema
describe right heart failure
development of peripheral edema due to congestion of blood backward into systemic circulation - "cor pulmonae"
describe coronary artery bypass surgery
bypass coronary block by using grafts commonly taken from saphenous vein, internal mammary artery, thoracic or radial arteries
when to use CABS?
relieve anginal symptoms, PTCA unsuccessful, EF <38%, multivessel involvement, technically difficult vessel lesions
what is percutaneous coronary angioplasty?
insertion of catheter to site of coronary lesion
what are the various techniques of PTCA
balloon angioplasty, stents, atherectomy, laser angioplasty
when to use PTCA
1-2 vessel involvement, EF around 55%