Lectures

Acute Coronary Syndromes (ACS): Treatment and Assessment

by Julianna Jung, MD, FACEP
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      Emergency Medicine Coronary Syndromes.pdf
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    About the Lecture

    The lecture Acute Coronary Syndromes (ACS): Treatment and Assessment by Julianna Jung, MD, FACEP is from the course Cardiovascular Emergencies and Shock. It contains the following chapters:

    • Introduction
    • STEMI

    Included Quiz Questions

    1. Most cases are of acute myocardial infarction with obvious coronary findings
    2. It is common in the United States
    3. It affects adults
    4. It is more common in men
    5. About 70% of cases are non-ST elevation
    1. Ischemic chest pain occurring with previously tolerated levels of exertion
    2. Causes elevation of troponin
    3. Causes ST-segment elevation on ECG
    4. Ischemic chest pain in any setting
    5. Causes elevation of CK-MB
    1. History of chest pain and ECG findings of ST elevation in more than 2 anatomically contiguous leads
    2. History of chest pain alone
    3. History of chest pain and ECG findings of ST-elevation in one lead
    4. History of chest pain and ECG findings of nonspecific ST changes
    5. History of chest pain and confirmatory laboratory tests
    1. Inferior
    2. Anterior
    3. Left lateral
    4. Right lateral
    5. Posterior
    1. ST-elevations should be observed in at least one lead
    2. Elevation should be more than 2 mm in men in V2-V3 leads
    3. Elevation should be more than 1.5 mm in women in V2-V3 leads
    4. All other chest/limb leads must be more than 1 mm elevated
    5. Non-pathologic ST elevations are commonly seen in V2-V3 leads
    1. Old left bundle branch block
    2. Symptoms consistent with cardiac ischemia
    3. ST-elevations
    4. ST-depressions in V1-V2
    5. New findings of dominant S-wave in V1
    1. less than 90 minutes
    2. 140 - 160 minutes
    3. 120 - 140 minutes
    4. 100 - 120 minutes
    5. 90 - 100 minutes
    1. Tachycardia
    2. History
    3. ECG
    4. Age
    5. Risk Factors

    Author of lecture Acute Coronary Syndromes (ACS): Treatment and Assessment

     Julianna Jung, MD, FACEP

    Julianna Jung, MD, FACEP


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