Cardiology Teaching Package
A Beginners Guide to Normal Heart Function, Sinus Rhythm & Common Cardiac Arrhythmias
Recognition of Acute Coronary Syndrome
Recognition of Acute Coronary Syndromes with Treatments and Procedures
| Condition |
Biomarkers |
ECG Changes |
Treatment |
Procedures |
| Unstable Angina |
Troponin < 0.03 |
- ST depression
- Inverted T wave
- Flat T waves
|
- Aspirin
- Beta-blocker
- Nitrates
|
In-patient Exercise Test (ETT)
|
| NSTEMI |
|
- ST depression
- Inverted T wave
- Flat T waves
|
- Aspirin
- Beta-blocker
- Nitrates
- Enoxaparin
- Clopidogrel
|
- In-patient ETT
- Angiogram in some cases
|
| NSTEMI |
|
- ST depression
- Inverted T waves
- Flat T waves
|
- Aspirin
- Beta-blocker
- Nitrates
- Enoxaparin
- IV Tirofiban for 48 hours
- Clopidogrel to follow infusion.
|
- In-patient Angiogram
- And possible Angioplasty
- And stent
|
| STEMI |
Biomarkers are not required if chest pain and ECG changes are present ( although they will be elevated |
ST elevation |
- Aspirin
- Beta-blocker
- Nitrates
- Enoxaparin
- Bolus IV Heparin
- ACE-Inhibitor
- THROMBOLYSIS
|
- Echocardiography
- Or MUGA scan to assess Left Ventricular Function.
- (can be as out-patient if asymptomatic.
Out-patient ETT.
- Angiogram if symptoms persist.
|
