30 Questions
What is the purpose of introducing an angioplasty balloon into the coronary artery during the procedure?
To occlude coronary flow
Which artery is commonly used for arterial access during the procedure?
Right radial artery
What material is an intracoronary stent typically made of?
Steel mesh
What imaging technique is primarily used during the procedure to guide the advancement of the guide-wire into the coronary artery?
X-Ray
What is the function of the angioplasty balloon's slippery outer coating during the procedure?
Facilitates its functioning during inflation
How does the vessel dilation occur when the angioplasty balloon is inflated?
By disrupting atheromatous plaque and extending fissures into the media
What is a common side effect of morphine administration?
Constipation
Which side effect is specifically mentioned as a reason to avoid morphine in patients with asthma?
Bronchoconstriction
How does aspirin work as an anti-platelet agent?
By inhibiting cyclo-oxygenase enzyme
What is a contraindication for aspirin therapy?
Aspirin allergy
Which side effect is associated with aspirin therapy according to the text?
Gastric mucosal ulceration
How can morphine overdose be reversed?
With Naloxone IV
When is the greatest survival benefit seen with thrombolytic therapy?
Within 4 hours after symptom onset
Which group of patients is at a higher risk of stroke after thrombolysis?
Patients with systolic hypertension
What is the recommended door to needle time for fibrinolysis?
Less than 30 minutes
In which group of patients is there no clear evidence of benefit from thrombolytic therapy?
Patients with ST depression
What is the impact of early therapy on infarct size and left ventricular ejection fraction (LV EF)?
Early therapy has the greatest impact on infarct size and LV EF
When should patients be thrombolysed if PPCI cannot be provided within 90 minutes of ECG diagnosis?
If contraindications exist and onset of pain was within the previous 3 hours
What is the main difference between the Early Invasive strategy and a more conservative approach?
Lower mortality and risk of recurrent ischaemia
According to NICE guidance, who should receive a routine invasive strategy?
Patients at intermediate or higher risk
When are indications for early angiography typically present?
Recurrent chest pain despite optimal medical therapy
What lifestyle measures are recommended in the secondary prevention/long-term management of patients?
Smoking cessation, weight reduction, increased physical activity
What does the RISK STRATIFICATION TOOL with a TOTAL SCORE of 7 help identify?
Patients at high risk of ischaemic events
In patients with haemodynamic instability, what is an indication for early angiography?
Pulmonary edema and/or hypotension
What does CABG stand for?
Coronary Artery Bypass Grafting
Which study evaluated the efficacy of Prasugrel in platelet inhibition?
TRITON-TIMI
Which study focused on evaluating the prevention of recurrent events in patients with unstable angina?
CURE
In which study was the long saphenous vein commonly used as a conduit for coronary artery bypass grafting?
RITA 3
What does the acronym HOPE stand for?
Heart Outcomes Prevention Evaluation
Which study assessed the survival and ventricular enlargement in patients with heart disease?
SAVE
Test your knowledge on the side effects and considerations of intravenous (IV) morphine administration. Learn about common adverse reactions and contraindications for morphine use.
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