1. First step to produce the greatest reduction in risk for CAD.:
Answer
1. First, assessfor the readiness to change and health literacy.
2. Then, help the patient select the lifestyle changes
2. Acute coronary syndrome (ACS):
Answer chest pain from ischemia is prolonged andnot immediately reversible (STEMI
and NSTEMI)
3. Unstable angina (UA):
Answer chest pain that is new in onset, occurs at rest.The painusually lasts 10 minutes or
more
4. Myocardial infarction (MI):
Answer occurs because of an abrupt stoppage of blood flowthrough a coronary artery with
a thrombus caused by platelet aggregation.
5. STEMI:
Answer occlusive thrombus, results in ST-elevation.The artery must be openedwithin 90
minutes of presentation to restore blood and O2 to the heart muscle (byPCI or
thrombolytic therapy)
6. PCI:
Answer
Done in Cath lab. first-line treatment for MI. It confirms which artery has theocclusive
thrombus so it can be opened with a balloon and stent
- performed with local anesthesia
- patient is ambulatory shortly after the procedure
- hospital stay is about 3 to 4 days after MI
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