IHD & Acute Coronary Syndromes

1.Discuss about the etiopathology, clinical features, investigations, treatment and complications of acute coronary syndrome

2.A 44 year old male patient has presented to the emergency with severe crushing type of precordial chest pain. He has significant history of smoking. His heart rate is 120/min, BP 180/100mmHg, ECG shows ST segment elevation in anterior and lateral leads. Cardiac troponin-I is increased

• a) What is the most likely diagnosis
• b) What are the risk factors for this condition
• c) What investigations will you do in this patient
• d) How will you manage this patient
• e) What are the complications of this condition

3.Acute NSTEMI

• a) Unstable angina
• b) 1 & 2 are correct
• c) 1 & 3 are correct
• d) 3 & 4 are correct
• e) 2 & 4 are correct
• f) The drugs used to treat hyperkalemia are

4.Acute STEMI 2) Acute ischemic stroke of <4.5 hours

5.A 45-year-old man who is a chronic smoker and hypertensive, comes with history of severe chest pain since the last 30 minutes. The pain is radiating to the jaw and left arm and is associated with palpitations

• a) What is the probable diagnosis
• b) Describe the etiopathology of this condition
• c) How do you investigate this patient
• d) How do you treat this patient
• e) What are the complications of this condition

6.A 65-year-old male chronic smoker comes to the emergency room with retrosternal chest discomfort, associated with sweating and breathing difficulty since 30 minutes.

• a) What is the most probable diagnosis
• b) What are the differential diagnoses
• c) What will be the clinical features on examination of this patient
• d) How will you confirm the diagnosis
• e) Treatment of this patient in the emergency room and long term management

1.Antiplatelet drugs

2.Communicate the therapeutic options to a patient with acute coronary syndrome

1.Draw ECG of acute inferior wall myocardial infarction

2.Unstable angina

3.Indications of TMT (Treadmill Test)

4.Drugs used in management of myocardial infarction

5.Anatomy of coronary circulation

6.Electrocardiographic changes in acute inferior wall myocardial infarction

7.Cardiac enzymes

8.Dressler’s syndrome

9.Cardiac troponins

10.List risk factors for acute myocardial infarction