Acute Coronary Syndrome: Diagnosis and Treatment
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Questions and Answers

What is the primary diagnosis of the 54-year-old man with acute chest pain?

  • Chronic obstructive pulmonary disease
  • Acute myocardial infarction with ST elevation (correct)
  • Hypertension
  • Diabetes mellitus type 2

    • What is the name of the biomarker that is elevated in the 54-year-old man's blood test?

  • Troponin T (correct)
  • Creatinine kinase
  • CKMB
  • Lactate dehydrogenase

    • What is the echocardiography result of the 54-year-old man?

  • Normal left ventricular function with no hypokinesis
  • Moderately impaired left ventricular function with posterior hypokinesis
  • Moderately impaired left ventricular function with anterior hypokinesis (correct)
  • Severely impaired left ventricular function with anterior hypokinesis

    • What is the final diagnosis of the 54-year-old man?

    <p>Q wave MI with impaired left ventricular function</p> Signup and view all the answers

    What is the treatment of the 54-year-old man?

    <p>Thrombus aspiration and stent implantation</p> Signup and view all the answers

    What is the primary goal of the diagnostic procedure in acute coronary syndrome?

    <p>To rule out other life-threatening acute chest diseases</p> Signup and view all the answers

    Which of the following is NOT a diagnostic test for pulmonary embolism?

    <p>Stress test</p> Signup and view all the answers

    When did the patient go for rehabilitation?

    <p>3 days after discharge</p> Signup and view all the answers

    What is the recommended treatment for STEMI within 12 hours?

    <p>PCI</p> Signup and view all the answers

    What is the primary difference between STEMI and non-STEMI?

    <p>Presence of total coronary occlusion</p> Signup and view all the answers

    Which of the following is a complication of acute coronary syndrome?

    <p>Shock</p> Signup and view all the answers

    What is the purpose of ECG in the diagnosis of acute coronary syndrome?

    <p>To diagnose STEMI</p> Signup and view all the answers

    What is the physical examination procedure used to assess the quality of the pulse in a patient with acute coronary syndrome?

    <p>Palpation</p> Signup and view all the answers

    Which of the following ECG leads is NOT used to localize an anterior myocardial infarction?

    <p>aVR</p> Signup and view all the answers

    What is the significance of a distended collar vein in a patient with acute coronary syndrome?

    <p>Right ventricular failure</p> Signup and view all the answers

    During which phase of myocardial infarction is an ECG most likely to show a STEMI pattern?

    <p>Hyperacute phase</p> Signup and view all the answers

    What is the purpose of measuring blood pressure in a patient with acute coronary syndrome?

    <p>To diagnose cardiogenic shock</p> Signup and view all the answers

    Which of the following ECG patterns is NOT associated with an inferior myocardial infarction?

    <p>STEMI in leads V1 and V4</p> Signup and view all the answers

    What is the primary purpose of risk stratification in patients with acute coronary syndrome without STE elevation?

    <p>To determine the need for invasive strategy</p> Signup and view all the answers

    What is a key factor in determining the risk category of a patient with acute coronary syndrome without STE elevation?

    <p>Clinical condition, including ongoing chest pain and hemodynamic status</p> Signup and view all the answers

    According to the GRACE risk stratification model, what is the in-hospital death rate for patients in the low-risk category?

    <p>3%</p> Signup and view all the answers

    What is the primary goal of patient management in acute coronary syndrome without STE elevation?

    <p>To calculate the acute and long-term prognosis</p> Signup and view all the answers

    Which of the following co-morbidities suggests a high probability of CHD?

    <p>Diabetes mellitus</p> Signup and view all the answers

    What is the timing of coronarography determined by in patients with acute coronary syndrome without STE elevation?

    <p>Risk category</p> Signup and view all the answers

    What is the recommended strategy for patients with STE elevation and acute coronary syndrome?

    <p>Immediate invasive strategy as soon as possible</p> Signup and view all the answers

    Which of the following is a complication of acute coronary syndrome?

    <p>Ventricular fibrillation</p> Signup and view all the answers

    What is the benefit of Intraaortic balloon pump (IABP) in acute coronary syndrome?

    <p>Passive augmentation of cardiac output</p> Signup and view all the answers

    Which of the following is an indication for early invasive strategy in acute coronary syndrome?

    <p>Diabetes mellitus</p> Signup and view all the answers

    What is the purpose of Extracorporeal Membrane Oxygenation (ECMO) in acute coronary syndrome?

    <p>Bridge to decision</p> Signup and view all the answers

    What is the name of the device program launched in 2008 for patients with acute coronary syndrome?

    <p>BiVAD</p> Signup and view all the answers

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