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- Acute Coronary Syndrome: ACE Inhibitors, Beta Blockers, MRAsKey Points Beta Blockers should be given to post ACS patients with HF or LVEF<40 and considered in all patients ACE Inhibitors should be given to post ACS patients with HF, LVEF<40, diabetes, or anterior infarct and considered in all patients. MRAs should be given to post ACS patients with LVEF<40 a
- Anterior STEMI with RBBBNote the ST elevation in leads V2 and V3. There is a wide QRS consistent with a RBBB. Subtle ST depression in the inferior leads. Same patient post PCI. Note the significant improvement in the ST elevation. RBBB looks more typical given the ST have improved.
- CAD: Fitness to Drive & FlyAbbreviations ACS – Acute Coronary Syndrome STEMI – ST Elevation MI NSTEMI – Non-ST Elevation MI UA – Unstable Angina DC – Discharge PCI – Percutaneous Coronary Intervention MOT – Ministry of Transportation CAD – Coronary Artery Disease This document contains guideline summaries and suggestions. It
- Complications of Myocardial InfarctionIntroduction & Approach Life threatening acute complications of MI includes the following differential: Mechanical Complications: LV free wall rupture –> Leads to cardiac tamponade Ventricular septal defect –> Leads to RV volume overload and shock Papillary muscle rupture –> Leads to acute severe m
- Non-STE ACS (NSTEMI/UA)Abbreviations MACE – Major Adverse Cardiac Effects (mortality, infarction, cardiovascular death, etc) UA – Unstable Angina NSTEMI – Non-ST Elevation MI cTn – Cardiac Troponin NPV – Negative Predictive Value Diagnosis History Helpful Features: Prior MI Risk factors (age, gender, hx of CAD) Deep, poor
- Post-MI CareAbbreviations OAC – Oral anticoagulant (includes warfarin, NOACs, etc.) DAPT – Dual anti-platelet therapy PPI – Proton pump inhibitor CCS – Canadian Cardiovascular Society AHA – American Heart Association CCS – Canadian Cardiovascular Society ARB – Angiotensin receptor blocker ACEi – ACE inhibitor B
- ST Elevation MI (STEMI)Abbreviations STEMI – ST Elevation Myocardial Infarction FMC – First Medical Contact DTB – Door-to-Balloon Time ICH – Intracranial Hemorrhage MACE – Major Adverse Cardiac Events (i.e. CV death, reinfarction, recurrent MI, shock, ischemic sx) TNK – Tenecteplase PCI – Percutaneous Coronary Interventio
- Stable CADIntroduction Coronary artery disease is the pathologic process of accumulation of atherosclerotic plaque in the epicardial arteries resulting in reduced myocardial blood flow/perfusion and accelerated by certain risk factors. Patients with suspected CAD should undergo workup consisting of blood work
- Stable CAD AppIntroduction Coronary artery disease is the pathologic process of accumulation of atherosclerotic plaque in the epicardial arteries resulting in reduced myocardial blood flow/perfusion and accelerated by certain risk factors. Patients with suspected CAD should undergo workup consisting of blood work
- Thrombolysis in STEMIImportant to rapidly recognize patients with an acute STEMI as time matters in saving myocardium and lives. Clinicians need to be vigilant in recognizing ECG’s and know when to consider thrombolysis. When available percutaneous coronary intervention (PCI) is preferred to thrombolysis. Randomized tri