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MKSAP – Cardiology Questions and Answers| Latest Update
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MKSAP – Cardiology Questions and Answers| Latest Update
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MKSAP – Cardiology Questions andAnswers| Latest Update
Differential diagnoses for ST-elevations on ECG Acute pericarditis
Left ventricular aneurysm
Takutsubo cardiomyopathy
Coronary vasospasm (Prinzmetal angina)
Acute stroke
Normal variant
Drug therapy that should be continued indefinitely following ACS as secondary prevention.
ASA
Beta-blockers
Statin
Drug therapy that should be continued indefinitely following ACS in patient with reduced EF for
clinical HF, diabetes, HTN, or CKD. ACE inhibitors or ARB
Drug therapy following ACS that is generally reserved for short-term infusion after difficult or
failed PCI in patients at high risk with a large clot burden. GP IIb/IIIa antagonists
(abciximab, eptifibatide, tiroban).
Usually not administered to patients with ACS who have received ASA and P2Y12 inhibitor.
, Indications for percutaneous coronary intervention (PCI) STEMI
Failure of thrombolytic therapy (continued chest pain, persistent ST elevations)
Thrombolytic therapy contra-indicated
New heart failure or cardiogenic shock
Indications for CABG after STEMI Thrombolytic PCI failure
Mechanical complications (papillary muscle rupture, VSD, or free wall rupture)
Complications following STEMI that may indicate use of intra-aortic balloon pump
Cardiogenic shock
Acute MR or VSD
Intractable VT
Refractory angina
Recommendations for placement of temporary pacer following MI Asystole
Symptomatic bradycardia (including complete heart block)
Alternating LBBB and RBBB
New or indeterminate-age bifascicular block with first degree AV block
Indications for ICD placement post-MI Recurrent ventricular arrhythmias
>40 days post MI
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