Lecture 9.1b - Ischemic heart disease - diagnosis and management principles.pdf

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)