Podcast
Questions and Answers
What is the common pathophysiology of unstable angina (UA) and non-ST segment elevation myocardial infarction (NSTEMI)?
What is the common pathophysiology of unstable angina (UA) and non-ST segment elevation myocardial infarction (NSTEMI)?
- Vulnerable plaque
- Myocardial infarction with no obstructive coronary artery disease
- Atherosclerotic plaque rupture with subsequent platelet-rich thrombus overlying the culprit lesion (correct)
- Ischemia and no obstructive coronary artery disease
What differentiates unstable angina (UA) and non-ST segment elevation myocardial infarction (NSTEMI)?
What differentiates unstable angina (UA) and non-ST segment elevation myocardial infarction (NSTEMI)?
- The location of the thrombus overlying the culprit lesion
- The degree of atherosclerotic plaque rupture
- The presence or absence of elevated cardiac biomarkers (correct)
- The extent of coronary artery disease
What is the abbreviation for myocardial infarction with no obstructive coronary artery disease?
What is the abbreviation for myocardial infarction with no obstructive coronary artery disease?
- MINOCA (correct)
- INOCA
- NSTE-ACS
- NSTEMI
What is the abbreviation for ischaemia and no obstructive coronary artery disease?
What is the abbreviation for ischaemia and no obstructive coronary artery disease?
Which type of acute coronary syndrome is usually caused by an unstable atherosclerotic plaque rupture with subsequent platelet-rich thrombus overlying the culprit lesion?
Which type of acute coronary syndrome is usually caused by an unstable atherosclerotic plaque rupture with subsequent platelet-rich thrombus overlying the culprit lesion?
What forms the group of acute coronary syndromes (ACS) usually caused by atherosclerotic disease?
What forms the group of acute coronary syndromes (ACS) usually caused by atherosclerotic disease?
Which of the following is NOT an advantage of LMWH over UFH?
Which of the following is NOT an advantage of LMWH over UFH?
In the setting of NSTEACS, what is the documented benefit of thrombolytic therapy?
In the setting of NSTEACS, what is the documented benefit of thrombolytic therapy?
Which condition is NOT considered a cause of increased myocardial metabolic demand?
Which condition is NOT considered a cause of increased myocardial metabolic demand?
What characterizes a transmural myocardial infarction (MI)?
What characterizes a transmural myocardial infarction (MI)?
What is the leading cause of death in most industrialized nations throughout the world?
What is the leading cause of death in most industrialized nations throughout the world?
What factor determines the severity of a myocardial infarction?
What factor determines the severity of a myocardial infarction?
Which symptom is NOT commonly associated with a myocardial infarction?
Which symptom is NOT commonly associated with a myocardial infarction?
When are most cases of myocardial infarction clustered?
When are most cases of myocardial infarction clustered?
Which test is NOT required for the diagnosis of myocardial infarction?
Which test is NOT required for the diagnosis of myocardial infarction?
What is the normal range for Troponin I levels in blood?
What is the normal range for Troponin I levels in blood?
What should not delay the reperfusion strategy/treatment during diagnosis of myocardial infarction?
What should not delay the reperfusion strategy/treatment during diagnosis of myocardial infarction?
What is indicated if a patient experiences syncope or near-syncope without other cause, associated with a chest pain?
What is indicated if a patient experiences syncope or near-syncope without other cause, associated with a chest pain?
What is the best alternative for measuring injury to the heart muscle if troponin is not available?
What is the best alternative for measuring injury to the heart muscle if troponin is not available?
What is the latest generation of cardiac enzyme testing that allows for detection of very low levels of troponin?
What is the latest generation of cardiac enzyme testing that allows for detection of very low levels of troponin?
What is considered the best and preferred for measuring injury to the heart muscle due to its greater sensitivity and specificity?
What is considered the best and preferred for measuring injury to the heart muscle due to its greater sensitivity and specificity?
Which of the following is recommended for all patients without contraindications at an initial oral loading dose of 150-300 mg?
Which of the following is recommended for all patients without contraindications at an initial oral loading dose of 150-300 mg?
Which antiplatelet agent is recommended in addition to aspirin and maintained over 12 months unless there are contraindications or an excessive risk of bleeding?
Which antiplatelet agent is recommended in addition to aspirin and maintained over 12 months unless there are contraindications or an excessive risk of bleeding?
Which antiplatelet agent is recommended in patients proceeding to interventional treatment?
Which antiplatelet agent is recommended in patients proceeding to interventional treatment?
When should a glycoprotein IIb/IIIa antagonist be considered?
When should a glycoprotein IIb/IIIa antagonist be considered?
What should be assessed at least twice 3-6 hours apart?
What should be assessed at least twice 3-6 hours apart?
What indicates ischemic dysfunction of a papillary muscle or mitral apparatus?
What indicates ischemic dysfunction of a papillary muscle or mitral apparatus?
What does a rise of Tn occur within after injury and peaks within 1-2 days?
What does a rise of Tn occur within after injury and peaks within 1-2 days?
What indicates overt pulmonary edema according to the Killip Classification?
What indicates overt pulmonary edema according to the Killip Classification?
Which leads should be used if the standard leads are inconclusive on the electrocardiogram?
Which leads should be used if the standard leads are inconclusive on the electrocardiogram?
What is the primary purpose of echocardiography in the context of acute myocardial infarction?
What is the primary purpose of echocardiography in the context of acute myocardial infarction?
Which arrhythmia occurs most commonly during the early hours after myocardial infarction?
Which arrhythmia occurs most commonly during the early hours after myocardial infarction?
What is the recommended treatment for premature ventricular complexes in the peri-infarct period?
What is the recommended treatment for premature ventricular complexes in the peri-infarct period?
Which arrhythmia is associated with a higher infarct mortality when occurring in the peri-infarct period?
Which arrhythmia is associated with a higher infarct mortality when occurring in the peri-infarct period?
What percentage of myocardial infarction patients experience ventricular fibrillation without antecedent-warning arrhythmias?
What percentage of myocardial infarction patients experience ventricular fibrillation without antecedent-warning arrhythmias?
What is the incidence of ventricular tachycardia in cases of myocardial infarction?
What is the incidence of ventricular tachycardia in cases of myocardial infarction?
Which arrhythmia occurs in approximately 10-20% of patients after myocardial infarction and is usually transient?
Which arrhythmia occurs in approximately 10-20% of patients after myocardial infarction and is usually transient?
In what percentage of myocardial infarction cases does new bundle branch block occur?
In what percentage of myocardial infarction cases does new bundle branch block occur?
What is the most common cause of sinus tachycardia in the peri-infarct period?
What is the most common cause of sinus tachycardia in the peri-infarct period?
What is the impact of Wenkebach rhythm in the peri-infarct period on long-term prognosis?
What is the impact of Wenkebach rhythm in the peri-infarct period on long-term prognosis?
What is the primary reason for premature atrial contractions in patients with myocardial infarction?
What is the primary reason for premature atrial contractions in patients with myocardial infarction?
What is the recommended treatment for sustained ventricular tachycardia during the peri-infarct period?
What is the recommended treatment for sustained ventricular tachycardia during the peri-infarct period?
