Coronary Arteries
- Aortic Root
 - Right Coronary Artery (RCA)
 - Right (Acute) Marginal Artery
 - Posterior Descending Artery (PDA)
 - Left Coronary Artery (LCA)
 - Left Anterior Descending (LAD) Artery
 - Circumflex Artery
 - Left Marginal Artery
 
Stable Angina
- Chest Pain with Exertion
 - Relieved within 15 Minutes
 - ST Depression
 - Nitroglycerin
 - Up to 3 Doses q 5 Minutes
 - Rest
 - Antiplatelet Medication
 - CABG
 - Angioplasty
 
Unstable Angina
- Chest Pain with Rest or Exertion
 - Limits ADLs
 - > 15 Minutes
 - Less Likely Relieved by Nitroglycerin
 - ST Depression
 - Fatigue
 - Acute Coronary Syndrome (ACS) Treatment
 - Emergency Treatment
 
Myocardial Infarction Assessment
- Substernal Chest Pain
 - Crushing or Dull Sensation
 - Arm, Jaw, and Neck
 - > 20 Minutes
 - Unrelieved by Nitro
 - Palpitations
 - Diaphoresis
 - Fear of Impending Doom
 - Nausea and Vomiting
 - Shortness of Breath
 - Monitor for Arrhythmias
 
Myocardial Infarction Diagnosis
- 12 Lead ECG
 - ST Elevation
 - Q Wave
 - T Wave Inversion
 - Troponin T and I
 - CK-MB
 - Early ECG
 - Cardiac Stress Test
 
Myocardial Infarction Interventions
- Morphine
 - Oxygen
 - Nitrates
 - Aspirin
 - Thrombolytics (tPA)
 - Cardiac Catheterization
 - Stent Placement
 - Angioplasty
 - Coronary Artery Bypass Grafting (CABG)
 - Decrease Modifiable Risk Factors
 - Resuming Activity (Physical, Sexual)
 
Evolution of Myocardial Infarction and Complications
- Arrhythmia
 - Fibrinous Pericarditis
 - Papillary Muscle Rupture
 - Interventricular Septum Rupture
 - Ventricular Pseudoaneurysm
 - Ventricular Free Wall Rupture
 - True Ventricular Aneurysm
 - Dressler Syndrome
 - Left Ventricular Failure
 
TIMI Score (Thrombolysis In Myocardial Infarction)
- Mortality Predictor
 - Unstable Angina or NSTEMI
 - 2 Week Risk of Death and Ischemic Events
 - Age Greater or Equal to 65
 - Markers Elevated
 - EKG ST Changes (Greater or Equal to 0.5mm)
 - Risk Factors for CAD (Coronary Artery Disease)
 - Ischemia (2 Anginal Events in 24 Hours)
 - Coronary Artery Disease (CAD)
 - Aspirin Use in the Last 7 Days
 
12 Lead Contiguous Leads - Inferior Wall MI
- Lead II
 - Lead III
 - Lead aVF
 - Right Coronary Artery (RCA)
 
12 Lead Contiguous Leads - Anterior Wall MI
- Lead V3
 - Lead V4
 - Left Anterior Descending (LAD)
 
12 Lead Contiguous Leads - Septal Wall MI
- Lead V1
 - Lead V2
 - Left Anterior Descending (LAD)
 
12 Lead Contiguous Leads - Lateral Wall MI
- Lead I
 - Lead aVL
 - Lead V5
 - Lead V6
 - Circumflex