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OnlineMedEd Shared "Acute Coronary Syndrome" - 9 Picmonics

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Acute Coronary Syndrome

Myocardial Infarction Assessment
Substernal Chest Pain
Crushing or Dull Sensation
Arm, Jaw, and Neck
> 20 Minutes
Unrelieved by Nitro
Fear of Impending Doom
Nausea and Vomiting
Shortness of Breath
Monitor for Arrhythmias
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2 mins
Myocardial Infarction Diagnosis
12 Lead ECG
ST Elevation
Q Wave
T Wave Inversion
Troponin T and I
Early ECG
Cardiac Stress Test
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2 mins
Myocardial Infarction Interventions
Thrombolytics (tPA)
Invasive Procedures
Cardiac Catheterization
Stent Placement
Coronary Artery Bypass Grafting (CABG)
Decrease Modifiable Risk Factors
Resuming Activity (Physical, Sexual)
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2 mins
Cardiac Enzyme Evaluation: Troponin
Cardiac Muscle Injury
Time Ranges
Detection in Blood: 4 Hours
Peak: 24 - 36 Hours
Return to Normal: 5 - 14 Days
Most Specific for Cardiac Muscle
Treat Aggressively
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2 mins
Cardiac Enzyme Evaluation: Creatine Kinase CK-MB
Skeletal or Cardiac Muscle Injury
Time Ranges
Onset: 4-8 Hours
Peak: 12-24 Hours
Return to Normal: 2-3 Days
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1 min
Cardiac Enzyme Evaluation: Myoglobin
Skeletal or Cardiac Muscle Injury
Time Ranges
Onset: 1 - 4 Hours
Peak: 12 Hours
Return to Normal: 24 Hours
Elevation After 24 Hours: Reinfarction
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2 mins
TIMI Score (Thrombolysis In Myocardial Infarction)
Mortality Predictor
Unstable Angina or NSTEMI
2 Week Risk of Death and Ischemic Events
AMERICA (Each is +1)
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
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3 mins
Evolution of Myocardial Infarction and Complications
Hours to Days
Before 7 Days
Fibrinous Pericarditis
Papillary Muscle Rupture
Interventricular Septum Rupture
Before 14 Days
Ventricular Pseudoaneurysm
Ventricular Free Wall Rupture
After 14 Days
True Ventricular Aneurysm
Dressler Syndrome
Left Ventricular Failure
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2 mins
Cardiac Catheterization
Fluttering Sensation
Contrast Media
NPO 6-12 Hours
After Procedure
Bed Rest
Assess Circulation
Assess for Bleeding
Monitor Vital Signs
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2 mins

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