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07 Acute Coronary Syndrome and Cardiogenic Shock
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Key difference between type I and type II MI:The presence / Absence of {{c1::plaque rupture}}
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Type I MI = ACSACS- A spectrum of conditions compatible with acute Mi and or infarction that are usually due to an abrupt reduction in coronary blood …
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What is a STEMI?EKG criteriaNew ST segment elevation at the j point in {{c1::two contiguous leads}} with the cut poitns {{c1::>/1 mV}} in all leads…
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Characteristics of Angina:
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Characteristics of Angina:locationnear {{c1::sternum}}May be felt anywhere from e{{c1::pigastrium to jaw}}May r{{c1::adiate between shoulders}} and do…
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Clinical Classification of Chest pain:Cardiac Chest pain: typical angina:{{c1::Substernal chest pain}} discomfortProvoked by {{c1::emotional stress}} …
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Initial Workup of ACS:12 lead EKG should be performed and evaluated for ischemic changes within {{c1::10 minutes}} of the pts arrival at an emergency …
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Routine Mangement:Oxygen: Keep o2 >{{c1::90}}% Class INitroglycerin:Ongoing ischemic discomfort should recieve sublingual nitro every {{c1::5}} min…
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Antiplatelet Therapy:{{c2::Aspirin}} 162 mg to 325 mg - should be chewed by pts who have not taken aspirin before presentation with STEMI (Class I)Dai…
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Dual Antiplatelet Therapy DAPT:In pts with ACS- {{c1::P2y12}} inhibitor therapy (clopidogrel) should be given for at least 12 months{{c2::Prasugr…
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MONA - BASH (DAPT)M- {{c1::morphine}}O- {{c1::Oxygen}}N- {{c1::Nitrates}}A- {{c3::Aspirin}}- B- {{c2::Beta blockers}}A- {{c2::Ace-I / ARB / …
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If {{c1::stent}} is present- {{c1::Dual anti platelet therapy}} is necessary indefinetly
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{{c1::NSTE-ACS}}- Beta blockers: Same as stemi
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{{c1::Fibrinolytics}}:In pts with with NSTE-ACS- (Ie, without st elevation, true posterior mi, or left bbb nononown to be old- {{c1::Fibrol…
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