Term
| What are the risk factors? |
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Definition
| Smoking, Hypertension,DM, Dyslipidemia, Family history (event in first degree relative <55 male <65 female) Age >45 male >55 female Chronic Kidney Disease, sedentary Obese |
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Term
| What signs or symptoms are needed to diagnose a stemi or nstemi? |
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Definition
At least 2 of the following:
Ischemic symptoms Diagnostic ECG changes Serum cardiac marker elevations |
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Term
| What are you likely to see during unstable angina? |
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Definition
Non occlusive thrombus
Non specific ECG
Normal cardiac enzymes |
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Term
| What are the details of a NSTEMI? |
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Definition
Occluding thrombus sufficient to cause tissue damage & mild myocardial necrosis
ST depression, T wave inversion on ECG
Elevated cardiac enzymes |
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Term
| What are the details of STEMI? |
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Definition
Complete thrombus occlusion
ST elevations on ECG or new LBBB
Elevated cardiac enzymes
More severe symptoms |
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Term
| How do the elderly, diabetics, and women usually present with acute coronary syndrome? |
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Definition
Elderly: Shortness of breath
Diabetics: Vague symptoms
Women: Complain of feeling fatigued |
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Term
| What are some symptoms of ACS? |
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Definition
Chest pain
Shortness of breath
Nausea/Vomiting
Diaphoresis
Weakness
Syncope |
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Term
| What are the cardiac care goals? |
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Definition
Decrease the amount of myocardial necrosis
Preserve LV function
Prevent major adverse cardiac events
Treat life threatening complications |
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Term
| What is the medical therapy for a STEMI? |
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Definition
MONA + BAH
Morphine, O2, Nitroglycerin, Asprin
Beta blockers, Ace-inhibitors, Heparin |
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Term
| What is some additional medication for a STEMI? |
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Definition
Thienopyridine
Glycoprotein IIb/IIIa inhibitors
Aldosterone blockers |
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Term
| Secondary prevention of a STEMI is what types of things? |
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Definition
Disease - HTN, DM, HLP: get them undercontrol
Behavioral: smoking, diet, PA, weight
Cognitive: education, cardiac rehab program |
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Term
| What is the BP goal for prevention of STEMIs, how about one that is also diabetic or has chronic kidney disease? |
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Definition
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Term
| What is the goal for LDL and TG to prevent STEMIs? |
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Definition
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Term
| For prevention of STEMIs, what is the goal for A1c? |
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Definition
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