Drugs
This antiplatelet drug is standard of care in acute coronary syndrome unless contraindicated.
What is Aspirin?
Crushing substernal chest pain radiating to the left arm is most characteristic of this condition.
what is myocardial infarction?
This interval on the EKG represents ventricular depolarization and repolarization.
what is the QT interval?
Cardiogenic shock is defined as tissue hypoperfusion due to failure of this organ.
what is the heart?
This biomarker is the gold standard for diagnosing acute myocardial infarction.
What is troponin?
This P2Y12 inhibitor must be combined with aspirin after PCI to reduce stent thrombosis.
What is Ticagrelor?
Sharp, pleuritic chest pain improved by sitting forward is most characteristic of this diagnosis usually followed 3 days or more after myocardial infarction
what is Dressler's syndrome?
ST-segment elevation in leads II, III, and aVF indicates an infarct in this territory.
What is the inferior wall (RCA)?
The hallmark hemodynamic finding in cardiogenic shock is a cardiac index below this threshold.
What is <2.2 L/min/m²?
Time is muscle—reperfusion therapy in STEMI is most effective within this number of minutes from arrival to the door
what is less than 90 minutes?
This opioid is sometimes used for chest pain, but it may worsen outcomes in STEMI due to vasodilation and delayed absorption of antiplatelets.
what is morphine?
Tearing chest pain radiating to the back is most concerning for this condition.
what is aortic dissection?
A sawtooth baseline on EKG is most characteristic of this arrhythmia.
What is atrial flutter?
Invasive monitoring often shows this elevated pressure, reflecting left ventricular failure.
What is pulmonary capillary wedge pressure (PCWP >15 mmHg)?
The most common complication in the first 24 hours after MI is this arrhythmia.
what is ventricular fibrillation?
This anticoagulant is often chosen in STEMI patients undergoing PCI because of its short half-life and reversibility with protamine.
What is unfractionated heparin?
Epigastric pain that worsens after meals and improves with antacids could mimic ACS but is actually this condition.
what is GERD?
ST depression and T-wave inversion are classic signs of this acute coronary syndrome.
What is NSTEMI or unstable angina?
This mechanical support device reduces afterload and improves coronary perfusion in cardiogenic shock.
What is an intra-aortic balloon pump (IABP)?
A new holosystolic murmur at the apex after MI suggests this complication.
what is papillary muscle rupture?
This vasopressor is the drug of choice in cardiogenic shock with hypotension, due to its strong alpha-adrenergic effects.
what is norepinephrine?
This chest pain syndrome is caused by coronary vasospasm, often seen in young women or cocaine use.
what is Prinz metal angina?
This EKG finding—electrical alternans with low-voltage QRS complexes—suggests this life-threatening diagnosis.
What is cardiac tamponade?
The mortality rate of cardiogenic shock after MI remains approximately this high, despite modern therapy.
What is 40–50%?
Dressler’s syndrome, a pericarditis that develops weeks after MI, is thought to be due to this mechanism.
What is an autoimmune reaction to myocardial antigens?