LATEST UPDATE / ALREADY GRADED A+
What to do first if patient has chest pain. - ANSWER Rest
ECG changes in an acute MI - ANSWER ST elevation in 2 or more contiguous leads.
Ischemia d/t full thickness loss of muscle. EMERGENCY.
Inferior leads - ANSWER II, III, aVF. RCA occlusion.
Septal leads - ANSWER V1 & V2.
Anterior leads - ANSWER V1 - V4. LAD lesion.
Lateral leads - ANSWER V5, V6, I, and aVL. Circumflex lesion.
Cardiac enzymes - ANSWER Troponins, CK-MB, and CK
Changes in CK - ANSWER Rise: 3-6 hours
,Peak: 24 hours
Normal: 3-4 days
Changes in CK-MB - ANSWER Released after myocardial necrosis. Specific for myocardial
damage.
Rise: 3-12 hours
Peak: 24 hours
, Normal: B2-3 Bdays
Troponin BI B- BANSWER BProtein Bfound Bin Bcardiac Bmuscle. BHigh Bsensitivity.
Rise: B3-12 Bhours
B
Peak: B24 Bhours
Normal: B5-10 Bdays
Troponin BT B- BANSWER BProtein Bfound Bin Bcardiac Bmuscle. BHigh Bsensitivity.
Rise: B3-12 Bhours
B
Peak: B12-48 Bhours
Normal: B5-14 Bdays
Common Bconditions Bthat Bcause Ba Bmurmur B- BANSWER BAortic Bdissection, Baortic
Bregurgitation B(both Bacute B& Bchronic), Bmitral Bvalve Bregurgitation B(both Bacute B&
Bchronic), Bmitral Bvalve Bstenosis
Drugs Bto Bdecrease Bafterload/SVR/PVR B- BANSWER B(Arterial BDilators) BNitroprusside,
Bnitroglycerin, Bamrinone, Balpha B(Regitine) B& BCa Bchannel Bblockers
Drugs Bto Bincreased Bafterload/SVR/PVR B- BANSWER B(Vasopressors) BEpinepherine,
Bnorepinepherine, Bdopamine, Bneosynephrine
Drugs Bto Bdecrease Bcontractility/SVI B- BANSWER BBeta Bblockers B(atenolol, Bmetoprolol,
Bpropranolol, Blabetolol, Besmolol) Band BCa Bchannel Bblockers
Drugs Bto Bincrease Bcontractility/SVI B- BANSWER BPositive Binotropes, Bdobutamine,
Bdopamine, Bmilrinone, Band Bdigoxin