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11 Cards in this Set
- Front
- Back
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Anterior infarct: Vessel? ECG change leads? Reciprocal ECG changes |
Vessel: Proximal left anterior descending (LAD) or left coronary artery Facing ECG changes: leads V2 to V4 Reciprocal ECG changes: II, III, aVF |
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Lateral infarct: Vessel? ECG change leads? Reciprocal ECG changes |
Vessel: Circumflex coronary artery or branch of left coronary artery Facing ECG changes: leads I, aVL, V5, V6 Reciprocal ECG changes: leads II, III, aVF |
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Inferior/diaphragmatic infarct: Vessel? ECG changes? Reciprocal ECG changes? |
Vessel: Right coronary artery Facing ECG changes: leads II, III, aVF Reciprocal ECG changes: leads I and aVL |
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Right ventricular infarct: Vessel? ECG changes? Reciprocal ECG changes? |
Vessel: Proximal section of right coronary artery Facing ECG changes: V4R, V5R, V6R Reciprocal ECG changes: none to possible ST elevation in V1 |
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Posterior infarct: Vessel? ECG changes? Reciprocal ECG changes? |
Vessel: Right coronary artery or circumflex artery Facing ECG changes: leads V1−V4 Reciprocal ECG changes: leads V1−V4 |
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STEMI treatment times |
PCI: door to balloon 90 min Fibrinolytics: door to drug 30 min |
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Normal ankle-brachial index (ABI) |
Normal >0.90 Divide ankle pressure by brachial pressure on same side |
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WPW syndrome |
Short PR interval, delta wave. May have SVT or pre-excited a-fib (HR>150, irregular, wide QRS. Treat with Beta-blockers, amio, or IV procainamide. DO NOT give adenosine, dioxin, or CCBs for pre-excited afib! |
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Long QT: cause and tx? |
Causes: drugs (amio, quinidine, Haldol, procainamide or anti's) and e-lytes (hypoK, hypoCa, and hypoMag) Tx for Torsades is Mag! |
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Systolic HF |
Ejection problem, EF <40%, S3, BP nor'l or high. Tx: BBs, ACEI/ARBs, diuretics, vasodilators, positive inotropes, aldosterone antagonists. Avoid: negative inotropes (CCBs) |
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Diastolic HF |
Filling problem, thick walls, normal EF, S4 and high BP. Tx: BBs, ACEI/ARBs, CCBs, low dose. diuretics, aldosterone antagonists Avoid: positive inotropes, dehydration, tachy |
