Risk Factors & S/S
Modifiable Risk Factors....
HTN, smoking, high cholesterol, obesity, physical activity, unhealthy diet, stress
The left main feeds....
The left atrium and most of the left ventricle dividing into the LAD and circumflex.
Inferior MI occurs in the ______ and can be seen on leads _______.
Right Coronary Artery
Lead II, III, and aVF
What is the acronym for MI tx?
MONA
Monitor and VS
Oxygen + O2 sats
Nitrates
Aspirin
What are possible tx of MIs?
Stents and CABG
S/s experienced by women....
Unusual fatigue, SOB, abd pain, insomnia, muscle aches, dizziness
The LAD feeds....
The anterior wall of the LV, intraventricular septum in most, ape of the heart, and the Bundle of HIS.
ST depression or elevation
What labs should be ordered for an MI work up?
CK
CKMB
Myoglobin
*Troponin*
At what point can the sheath be removed post procedure?
Once the ACT <150
Non-Modifiable Risk Factors.....
Age, family hx, ethnicity, and gender
The right coronary artery feeds the....
Right atrium and ventricle, the SA and AV node in most people, posterior areas of the heart, and inferior wall of LV.
Anterior MIs occur in the ______ and can be seen on leads _______.
Left Anterior Descending
Leads V3 and V4
Every patient present with MI symptoms should receive ______ IVs.
2 large bore
Allergies to _________ need to be verified before a pt goes for a PCI.
Shellfish and iodine
Angina Pectoris can be a warning sign of inadequate myocardial oxygenation. What are they types and why they occur/are relieved by?
Stable: with exertion; relieved by rest and NTG
Unstable: new onset, increasing frequency, occurs at minimal exertion or rest; unresponsive to NTG
Prinzemetal's: vasospasm, often at night
The circumflex feeds.....
The anterior lateral wall of LV, LA, and posterior wall.
Lateral MIs occur in the _______ and can been seen on leads _______.
Circumflex
Leads V5 and V6
Time from ER to Cath-lab is _______ minutes.
60
This medication can be given to protect the kidneys.
Acetylcistine (Mucomyst)
Classic signs of MI....
"Elephant on my chest"
Dominant vessel in most people...
Right Coronary Artery
Anteroseptal MIs can been seen on leads ____.
Leads V1 and V2
Time from ER door to balloon is ______ minutes.
90
How often does someone have a MI in the US?
q40sec