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Acute Coronary Syndrome (ACS) Study online at quizlet.com/_64w79

Acute Coronary Syndrome (ACS)

Study online at quizlet.com/_64w79

1. leading cause of death in US

ACS

2. LCA supplies

left circumflex LAD (widow maker)

3. RCA supplies

right side of heart inferior aspect of left ventricle -> posterior descending AV conduction system

4. ischemia

imbalance between oxygen supply & demand

5. usual caus eof ischemia

atherosclerotic disease -> reduction of myocardial blood flow

6. stable angina is

predictiable relieved by rest/nitro

7. angina time frames

usu < 10 minutes usu resolves w/ 2-5 min of rest or nitro

8. single best initial test

EKG, done & read w/in 10 minutes

9. ST depression in leqads distant from the leads suggest

ischemia/infarction highly supportive of AMI indicates larger infarct pattern

10. lateral leads

I, aVL, V5, V6

11. I, aVL, V5, V6

lateral leads

12. inferior leads

II, III, aVF

13. II, III, aVF

Inferior

14. anterior

V3, V4

15. V3, V4

anterior

16. septal

V1, V2

17. V1, V2

septal

18. portable CXR can be used

to help find other causes of chest pain screen for possible aortic dissection -widened mediastinum -contraindiaction to thrombolytics

19. MONA

morphine

oxygen

nitro

ASA