Show:
STEMI
UA
NSTEMI
Drug Therapy
Contraindications
100
worsening of chest pain lasting more than 5 minutes, accompanied by shortness of breath, nausea, or weakness
What are classic symptoms?
100
Chest pain that occurs at rest or can occur suddenly and may worsen suddenly, or may recur over days to weeks.
What are classic symptoms of UA?
100
Symptoms similar to UA but differentiated on the basis of markers and EKG
What are symptoms of NSTEMI?
100
Patients presenting with s/s of ACS should chew this medication prior to hospital arrival
What is aspirin (162-325 mg)
100
It is a relative CI for patients older than this age to not receive fibrinolytics
What is 75
200
This treatment strategy when no PCI is available within 90 minutes
What is fibrinolysis?
200
The presence of these differentiates UA from NSTEMI
What are no positive biomarkers for cardiac necrosis being present?
200
This is the initial pharmacologic treatment strategy for conservative or invasive NSTEMI patients
What is ASA or clopidogrel + Anticoagulant (UFH or LMWH)
200
This drug takes 2 to 5 days to take full effect
What is clopidogrel?
200
In treating STEMI, this drug is CI to recent (<24h) sildenafil or vardenafil usage.
What is NTG
300
30 minutes
What is “door-to-needle” time?
300
A patient who presents with UA and a low TIMI score should be treated with this treatment strategy
What is conservative treatment strategy
300
This class of medication has no role in NSTEMI (or UA) treatment and presents an increased bleeding risk
What is fibrinolytics
300
These are the loading and maintenance doses for clopidogrel
What is LD: 300-600 mg once and MD: 75 mg/daily
300
These two drug classes are contraindicated if a patient has hypotension
What is ACE-I & BB
400
Persistent ST elevation ≥ 1mm in 2 contiguous limb leads, ST elevation ≥ 2 mm in 2 contiguous chest leads, or new LBBB pattern
What is diagnostic criteria for STEMI?
400
A patient who received a drug eluting stent should receive clopidogrel for at least 1 year and ASA for this long
What is at least 3-6 months
400
This score is used to determine if a patient will receive either invasive or conservative treatment of NSTEMI (or UA)
What is thrombolysis in myocardial infarction (TIMI) score
400
These are the anticoagulant pharmacologic options for NSTEMI
What is enoxaparin, UFH, fondaparinux (+ UFH added at time of PCI), or bivalirudin
400
This drug class can be used to treat recurrent ischemia if there is contraindications to beta blockers.
What is Calcium Channel Blockers (Verapamil, Diltiazem)
500
This is the pneumonic for the initial treatment strategy for patients with STEMI
What is MONA-B (Morphine, O2, NTG, ASA, BB)
500
A patient who underwent a 'conservative' treatment strategy stabilized but had a LVEF of 27%. This treatment would be appropriate.
What is immediate angiography
500
Early conservative treatment antiplatelet agents for NSTEMI
What is Clopidogrel + If positive stress test, abciximab or eptifibatide with UFH or enoxaparin, or bivalirudin at time of PCI
500
What is the optimal lifelong ASA dose once dual therapy with clopidogrel after PCI with stent implantation is completed?
What is Aspirin 81 mg
500
Anterior infarction, pulmonary congestion and LVEF <40% are known CI's to this class of medication.
What is ACE inhibitors