Introduction to Acute Coronary Syndrome

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Questions and Answers

What is the cardiac-specific isoenzyme that increases when there has been damage to cardiac cells?

  • Myoglobin
  • CK-MM
  • Troponin T
  • CK-MB (correct)

Which biomarker remains elevated for a long period, often as long as 2 weeks, and can be used to detect recent myocardial damage?

  • Troponin T (correct)
  • CK-MB
  • Myoglobin
  • CK-MM

What protein found in myocardial cells regulates the myocardial contractile process?

  • CK-MM
  • Myoglobin
  • CK-MB
  • Troponin (correct)

What is used to evaluate ventricular function and can assist in diagnosing an MI, especially when the ECG is nondiagnostic?

<p>Echocardiogram (B)</p> Signup and view all the answers

Which enzyme level starts to increase within 1 to 3 hours after the onset of symptoms and peaks within 12 hours?

<p>Myoglobin (C)</p> Signup and view all the answers

What are used to diagnose an acute MI based on the release of cellular contents into the circulation when myocardial cells die?

<p>Cardiac enzymes and biomarkers (A)</p> Signup and view all the answers

What is the preferred term for coronary occlusion and myocardial infarction?

<p>Myocardial infarction (D)</p> Signup and view all the answers

Which condition includes reduced blood flow in a coronary artery, often due to rupture of an atherosclerotic plaque?

<p>Unstable angina (C)</p> Signup and view all the answers

What can result in chest pain and other symptoms that may be referred to as preinfarction angina?

<p>Unstable angina (A)</p> Signup and view all the answers

What results in complete occlusion of a coronary artery, leading to ischemia and necrosis of the myocardium?

<p>Myocardial infarction (A)</p> Signup and view all the answers

Which term is used synonymously with coronary occlusion and heart attack?

<p>Myocardial infarction (B)</p> Signup and view all the answers

What situation can result in chest pain and other symptoms that may be referred to as preinfarction angina?

<p>Unstable angina (D)</p> Signup and view all the answers

When does a clot begin to form on top of the coronary lesion but the artery is not completely occluded?

<p>Unstable angina (D)</p> Signup and view all the answers

What results in vasospasm (sudden constriction or narrowing) of a coronary artery?

<p>Acute blood loss (D)</p> Signup and view all the answers

What leads to decreased oxygen supply in the context of acute coronary syndrome?

<p>Low blood pressure (C)</p> Signup and view all the answers

What may result in chest pain and other symptoms that can be referred to as preinfarction angina?

<p>Unstable angina (A)</p> Signup and view all the answers

What condition results in necrosis of the myocardium supplied by a specific artery due to complete occlusion of the artery?

<p>Myocardial infarction (A)</p> Signup and view all the answers

What leads to increased demand for oxygen in the context of acute coronary syndrome?

<p>Myocardial infarction (D)</p> Signup and view all the answers

What is the main presenting symptom in most patients with acute coronary syndrome?

<p>Chest pain (D)</p> Signup and view all the answers

What do the signs and symptoms of MI, caused by stimulation of the sympathetic nervous system, include?

<p>Cool, pale, and moist skin (C)</p> Signup and view all the answers

What diagnostic tool provides information to assist in ruling out or diagnosing an acute MI?

<p>12-lead ECG (A)</p> Signup and view all the answers

What is a key diagnostic indicator for STEMI (ST-elevation myocardial infarction)?

<p>ST-segment elevation (C)</p> Signup and view all the answers

What do abnormal Q waves on an ECG indicate?

<p>Necrotic tissue (A)</p> Signup and view all the answers

How is NSTEMI (non-ST elevation myocardial infarction) diagnosed?

<p>By blood levels of cardiac biomarkers (B)</p> Signup and view all the answers

What is the first ECG indicator to return to normal during recovery from an MI?

<p>ST-segment elevation (B)</p> Signup and view all the answers

What differentiates NSTEMI from STEMI?

<p>Elevated troponin levels without definite ECG evidence of acute MI (A)</p> Signup and view all the answers

What causes the ST segment to rise at least 1 mm above the isoelectric line on an ECG during an acute MI?

<p>Delayed myocardial repolarization (B)</p> Signup and view all the answers

Which term refers to the differentiation between NSTEMI and STEMI based on diagnostic tests?

<p>Acute coronary syndrome (B)</p> Signup and view all the answers

What is the main goal of medical therapy for patients with acute coronary syndrome?

<p>To prevent or minimize myocardial tissue death (A)</p> Signup and view all the answers

What may be present during an MI without persistent ST elevation or other ECG changes?

<p>Abnormal Q wave without ST-segment and T-wave changes (C)</p> Signup and view all the answers

What is the preferred term for an emergent situation characterized by an acute onset of myocardial ischemia that can lead to myocardial death?

<p>Myocardial infarction (MI) (B)</p> Signup and view all the answers

What condition involves reduced blood flow in a coronary artery, often due to rupture of an atherosclerotic plaque, and may result in chest pain and other symptoms known as preinfarction angina?

<p>Unstable angina (B)</p> Signup and view all the answers

What occurs when plaque rupture and subsequent thrombus formation result in complete occlusion of a coronary artery, leading to ischemia and necrosis of the myocardium supplied by that artery?

<p>Myocardial infarction (MI) (C)</p> Signup and view all the answers

What is the term used to describe the spectrum of Acute Coronary Syndrome which includes unstable angina, NSTEMI, and STEMI?

<p>Acute Coronary Syndrome (ACS) (C)</p> Signup and view all the answers

Which condition involves sudden constriction or narrowing of a coronary artery and may lead to decreased oxygen supply, resulting in myocardial ischemia?

<p>Vasospasm of a coronary artery (A)</p> Signup and view all the answers

What type of situation results in reduced blood flow in a coronary artery, often due to rupture of an atherosclerotic plaque, but without complete occlusion of the artery?

<p>Unstable angina (B)</p> Signup and view all the answers

In which condition does a clot begin to form on top of the coronary lesion but the artery is not completely occluded?

<p>Unstable angina (C)</p> Signup and view all the answers

Which protein found in myocardial cells is specific for cardiac muscle and recognized as a reliable marker of myocardial injury?

<p>Troponin T (B)</p> Signup and view all the answers

What enzyme is a cardiac-specific isoenzyme found mainly in cardiac cells and increases when there has been damage to these cells?

<p>CK-MB (D)</p> Signup and view all the answers

Which enzyme level starts to increase within a few hours during acute MI and remains elevated for a long period, often as long as 2 weeks?

<p>Troponin I (D)</p> Signup and view all the answers

What diagnostic tool can be used to evaluate ventricular function and assist in diagnosing an MI, especially when the ECG is nondiagnostic?

<p>Echocardiogram (C)</p> Signup and view all the answers

What is the preferred term for coronary occlusion and heart attack?

<p>MI (myocardial infarction) (B)</p> Signup and view all the answers

Which condition results in necrosis of the myocardium supplied by a specific artery due to complete occlusion of the artery?

<p>STEMI (B)</p> Signup and view all the answers

What may be used to rule out an acute MI if negative results are obtained?

<p>Elevated myoglobin level (C)</p> Signup and view all the answers

When does myoglobin level start to increase after the onset of symptoms and when does it peak?

<p>Starts within 1 to 3 hours and peaks within 12 hours (C)</p> Signup and view all the answers

What can detect hypokinetic and akinetic wall motion and determine the ejection fraction?

<p>Echocardiogram (C)</p> Signup and view all the answers

What is the main presenting symptom in most patients with acute coronary syndrome?

<p>Chest pain that occurs suddenly and continues despite rest and medication (D)</p> Signup and view all the answers

What are the ECG changes that occur with an MI?

<p>T-wave inversion, ST-segment elevation, and development of an abnormal Q wave (B)</p> Signup and view all the answers

Which biomarker remains elevated for a long period, often as long as 2 weeks, and can be used to detect recent myocardial damage?

<p>Troponin (C)</p> Signup and view all the answers

What is the preferred term for coronary occlusion and myocardial infarction?

<p>Heart attack (D)</p> Signup and view all the answers

What may result in chest pain and other symptoms that can be referred to as preinfarction angina?

<p>All of the above (D)</p> Signup and view all the answers

What condition results in necrosis of the myocardium supplied by a specific artery due to complete occlusion of the artery?

<p>STEMI (A)</p> Signup and view all the answers

Which term refers to the differentiation between NSTEMI and STEMI based on diagnostic tests?

<p>12-lead ECG (D)</p> Signup and view all the answers

What enzyme level starts to increase within 1 to 3 hours after the onset of symptoms and peaks within 12 hours?

<p>CK-MB (D)</p> Signup and view all the answers

What results in complete occlusion of a coronary artery, leading to ischemia and necrosis of the myocardium?

<p>Heart attack (A)</p> Signup and view all the answers

What is used to evaluate ventricular function and can assist in diagnosing an MI, especially when the ECG is nondiagnostic?

<p>Echocardiography (A)</p> Signup and view all the answers

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