Lecture 9.1b - Ischemic Heart Disease Diagnosis and Management
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Aston University
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Summary
Lecture 9.1b discusses the diagnosis and management of ischemic heart disease, including the role of ECG, biomarkers, echocardiography, and cardiac catheterization. The lecture also outlines management principles, focusing on early intervention to improve patient outcomes.
Full Transcript
Diagnosis: ◦ECG ◦Biomarkers ◦Echocardiogram - wall motion abnormalities ◦Cardiac catheterisation Biomarkers: ◦Myoglobins, Troponin I, T, CK-MB, leak out of cells ◦Important to understand the timing of the release ◦CK-MB normalises quicker -> can be used to det...
Diagnosis: ◦ECG ◦Biomarkers ◦Echocardiogram - wall motion abnormalities ◦Cardiac catheterisation Biomarkers: ◦Myoglobins, Troponin I, T, CK-MB, leak out of cells ◦Important to understand the timing of the release ◦CK-MB normalises quicker -> can be used to determine re-infarction ECG - predicted distribution of ST-elevation relative to occluded artery: Diagnostic approach: Management principles: ◦All principles should receive anti-ischemic and analgesic medications early in care ◦Revascularisation (within 90 minutes of first medical contact) ‣ Percutaneous coronary intervention (PCI)/coronary angioplasty ◦Fibronlytic therapy (if PCI cannot be performed)
