Signs & Symptoms
Chest Pain, Shortness of Breath, Diaphoresis, radiation of pain to arms or jaw
What are typical symptoms of ACS?
≤ 10 minutes
What is the Door to EKG time goal?
Unstable Angina, NSTEMI, and STEMI
What is included in the category of Acute Coronary Syndrome?
Initial medication given for Acute MI which prevents blood platelets from clumping together to form or enlarge clots in coronary arteries.
What is Aspirin?
The primary pacemaker of the heart
What is the SA node?
Hyperlipidemia, smoking, obesity, sedentary lifestyle
What are Modifiable risk factors?
57 minutes
What is our facility goal for Door to Balloon?
Partial blockage + elevated troponin, no ST elevation
What is a NSTEMI?
Medication class that is contraindicated with Nitroglycerin?
What are Phosphodiesterase Inhibitors?
If the R is far from P, then you have a......
What is a 1st degree block?
70 year old female with SOB, fatigue, indigestion. No chest pain.
What are atypical ACS symptoms
Gold standard blood test for assisting with diagnosis of Acute MI.
What is Troponin?
Clinical Condition characteried by ischemic chest pain occuring at rest or with minimal exertion, usually persists more than 10 minutes. Negative troponins.
What is Unstable Angina?
Form of ASA that may be given to an unresponsive Acute MI patient
What is an ASA suppository?
No identifiable P waves, irregular R-R intervals, normal QRS complex
Women, elderly, and diabetics
What type of patient often has an atypical presentation of an acute MI?
Chest pain + EKG changes with ST elevation in leads II, III, and AVF.
What is an Inferior STEMI?
Indicates a STEMI on an EKG
What is ST elevation?
Plavix, Prasugrel, Brilinta
What are P2Y12 inhibitors?
Represents the time of ventricular depolarization
What is the QRS?
Should be done on patient who is at high suspicion for ACS with non-diagnostic initial EKG who continues to have pain/symptoms of ACS.
What is repeat EKG every 15-30 minutes during the first hour after presentation?
HMC's Troponin timing strategy
What is 0, 2, and 6 hours?
A severe, life threatening type of heart attack caused by the sudden, complete blockage of a coronary artery
Anticoagulant used to prevent blood clots from forming or enlarging in the coronary arteries during an Acute MI. Often given as an IV bolus to support a Percutaneous Coronary Intervention (PCI).
What is Heparin?
Rhythm you will want to defibrillate
What is V-Fib or pulseless V-Tach?