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Acute Coronary Syndrome Review Quiz

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Questions and Answers

Which type of ECG changes are typically seen in Unstable Angina (UA)?

ST segment elevation

ST segment depression and T wave inversion (correct)

Prolonged QT interval

Tall T waves

What is the recommended time frame for administering fibrinolytics in STEMI patients?

Ideally within 120 minutes, but can be given up to 12 hours of symptoms (correct)

Within 6 hours of symptoms

Within 30 minutes of symptoms

Within 48 hours of symptoms

Which antiplatelet is preferred to be given with fibrinolytic therapy?

Clopidogrel (correct)

Ticagrelor

Aspirin

Prasugrel

In which type of ACS do we see ST-segment elevation and positive biomarkers?

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

What is the recommended door to needle time for administering fibrinolytics in STEMI patients?

<p>30 minutes</p> Signup and view all the answers

Study Notes

Unstable Angina (UA)

ECG changes in Unstable Angina may include transient ST-segment depression and/or T-wave inversions.
No persistent ST-segment elevation is observed, distinguishing UA from STEMI.

STEMI Fibrinolytics Administration

Fibrinolytics should be administered within the first 12 hours of symptom onset in STEMI patients for optimal outcomes.
The critical time frame is often narrowed to within the first 3-4 hours for the best results.

Antiplatelet Therapy with Fibrinolytics

Aspirin is the preferred antiplatelet agent administered alongside fibrinolytic therapy to enhance the therapeutic effect.

Acute Coronary Syndrome (ACS) Classification

ST-segment elevation and positive biomarkers are characteristic of ST-Elevation Myocardial Infarction (STEMI), indicating myocardial injury.

Door to Needle Time for STEMI

A target door to needle time of 30 minutes is recommended, emphasizing the urgency in administering fibrinolytics to improve patient prognosis.

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Description

Test your knowledge of unstable angina, NSTEMI, and STEMI with this review quiz. Explore the characteristic ECG changes, biomarkers, symptoms, and clinical suspicion criteria for ACS.