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3 Cards in this Set
- Front
- Back
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STEMI Definition PCI criteria Management LT management |
Trop + ischaemia changes - 2+ Limb lead 1mm elevation - 2+ chest elad 2mm elevation - LBBB PCI criteria: 12 hrs from onset of sx and <2hrs from PPCI centres. If >2hrs then consider thrombolysis and transfer. Mx: DAPT, Lmwh, bisoprolol, analgesia |
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NSTEMI / UA Definition Management |
Ishaemic changes + trop rise (no trop rise in UA) nitrates for recurrent chest pain DAPT + analgesia + nitrates for recurrent chest painUrgent review (<120 after presentation if developing ecg changes /ongoing chest pain/shock or arrhythmia) Urgent review (<120 after presentation if developing ecg changes /ongoing chest pain/shock or arrhythmia) |
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Ventricular Arrhythmias Risk factors Prognostic features |
Usually occurs in first 48 hours after PPCI. More likely if larger MI and no prior history of coronary disease. More likely post-procedural if they have any signs of heart failure. Early PCI, B-blockers help. No increased 3 year mortality (horizons). Though higher 30 day and 1 year mortality rates (1/3). |
