ACS
three types
angina, unstable angina, STEMI or nonSTEMI
unstable angina vs. NSTEMI
NSTEMI shows elevated troponins
unstable angina presents as
unpredictable, worse with rest or exertion
stable angina presents as
worse on exertion, better w/ rest
angina pectoris dx process, know the initial test and the definitive test
initial - ECG to check ST depression and stress tests as non-invasive
gold standard - angiography
prinzmetal variant - what's it caused by? what's the pain like?
Caused by vasospasm of coronary arteries, pain is cyclic
Tx for ACS - general
MONA and BASH
Morphine
Oxygen
Nitrates
Aspirin
BB
ACE-Is
three types
angina, unstable angina, STEMI or nonSTEMI
unstable angina vs. NSTEMI
NSTEMI shows elevated troponins
unstable angina presents as
unpredictable, worse with rest or exertion
stable angina presents as
worse on exertion, better w/ rest
angina pectoris dx process, know the initial test and the definitive test
initial - ECG to check ST depression and stress tests as non-invasive
gold standard - angiography
prinzmetal variant - what's it caused by? what's the pain like?
Caused by vasospasm of coronary arteries, pain is cyclic
Tx for ACS - general
MONA and BASH
Morphine
Oxygen
Nitrates
Aspirin
BB
ACE-Is
