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13 Cards in this Set
- Front
- Back
There is ST elevation in leads II, III, and aVF. Reciprocal changes in lateral wall (I, aVL). This type of ACS is associated with AV conduction disturbances: 2nd degree Type I AV block, 3rd degree AV block, sick sinus syndrome (SSS), and sinus bradycardia. Can have tachycardia= higher mortality. Associated with RCA occlusion. What is the ACS? |
Inferior MI |
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Pt has JVD at 45 degrees, high CVP, hypotension, bradyarrhythmias, and clear lungs. There is ST elevation in V3R and V4R. What ACS is this and what is the Tx? |
Right Ventricular (RV) infarct Tx: fluids, positive inotropes Avoid: preload reducers (nitrates, diuretics). Use caution with beta blockers due to initial hypotension |
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This type of ACS is associated with LAD occlusion. There is ST elevation in V1-V4: precordial leads, V leads. Reciprocal changes (ST depression) in inferior wall (II, III, aVF). May develop 2nd-degree Type II AV block or RBBB. Can develop systolic murmur. What type of ACS is this? |
Anterior MI |
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ST elevation in V5, V6 ST elevation in I, aVL Involves the left circumflex artery What ACS is this? |
Lateral MI |
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S3 heart sound |
Associated with heart failure; may occur before crackles S3 is also caused by: pulmonary HTN and cor pulmonale, mitral, aortic, or tricuspid insufficiency Ventricular gallop “Kentucky” |
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S2 is louder with what condition? |
PE |
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S4 is caused by what and associated with? |
Caused by atrial contraction of blood in a noncompliant ventricle Associated with: Myocardial ischemia, infarction, HTN, ventricular hypertrophy, and aortic stenosis
Atrial gallop “Tennessee” |
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Murmurs of insufficiency occur when? |
When valve is closed. Regurgitation |
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Murmurs of stenosis occur when? |
Occur when valve is open Narrowing |
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What are murmurs associated with acute MI |
Mitral Valve Insufficiency (regurgitation) Papillary muscle dysfunction Papillary muscle rupture (surgical emergency!) Ventricular septal defect |
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A patient recently undergone a PCI (percutaneous coronary intervention) with stent placement. The patient begins to show s/sm of chest pain, pain radiating to chest and shoulders, indigestion, SOB (s/sm of ACS). What complication is the patient most likely having? |
Complication of PCI: Stent thrombosis (most likely to be on exam)- this is a thrombotic occlusion of coronary stent |
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A patient is post PCI and presents with bruising on the flanks/ abdominal area with severe low back pain and sudden hypotension. What is the patient most likely developing? |
Retroperitoneal bleeding (most likely on exam). This is when blood enters the space immediately behind the posterior reflection of the abdominal peritoneum. |
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What is normal Ankle-Brachial Index (ABI)? |
>0.90
You divide the ankle pressure by the brachial pressure on the same side. |
