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10 Cards in this Set

  • Front
  • Back
What four tools are used in an Nstemi workup
Hx
Stress test
EKG
Cardiac marker enzymes
What does elevated BNP mean in an nstemi?
often associated with greater severity and extent of MI because it is associated with tighter lesion diameter as well as a LAD proximal culprit lesion location
What risk model do you use when someone is admitted with chest pain?
Grace scoring module
What do you need in order to diagnose a non Q-wave MI?
cardiac enzymes
What coronary arteries does a Non Q-wave MI usually involve?
usually a multi vessel disease?
What are the TIMI risk factors?
Age>65 years
CAD at cath
3+ risk factors
UA/STEMI while on ASA
2+ episodes in 24 hours
ST >.5 mm depression
Increased lab markers
What is the treatment for NSTEMI?
Nitro SL, IV - doesn't respond well to SL, unlike stem
Beta blockers to HR 50-60
ACEI
Statins
ASA
Heparin
Antiplatelet agents
PCI or CABG
What drug should you not use during acute NSTEMI
NSAIDs
What drugs do you use to treat Prinzmetals Angina?
Nitrates
Calcium channel blockers
Alpha blockers (prazocin)
ASA
What drugs do you use to treat Chronic NSTEMI?
Beta blockers
Statins
ACE Inhibitors
Asprin/ Plavix for stents