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What medications are typically prescribed immediately after an intracoronary stent has been placed during an angioplasty?
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Oral antiplatelet medications like aspirin or Clopidogrel and Aggrastat (used to prevent restenosis)
What is the primary cause of stent restenosis?
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Overgrowth of new intima in the vessel walls
When cardiac ischemia is prolonged and not immediately reversible, _________ develops.
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Acute Coronary Syndrome
NSTEMI is characterized by a thrombus that ________ occludes the lumen.
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partially
STEMI is characterized by a thrombus that ________ occludes the lumen.
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totally
Chest pain that is new on onset, occurs at rest, or has a worsening pattern is called _______ angina.
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Unstable
A _________ occurs as a result of sustained cardiac ischemia, causing irreversible myocardial cell death/necrosis.
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Myocardial Infarction
What causes the majority of MIs?
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The formation of a thrombus
What part of the heart is most commonly affected by an MI?
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The left ventricle
What symptoms of an MI are present when the SNS has been stimulated?
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The patient may be ashen, clammy and cool to the touch. The BP and HR might initially be elevated.
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Crackles are more likely to develop in a patient's lungs if the MI has occurred on the _______ ventricle of the heart.
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Left
JVD, hepatic engorgement or peripheral edema can indicate an MI has occurred in the ________ ventricle.
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Right
A holosystolic murmur can develop with an MI when there's damage to…
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The septum or the heart valves
What are the overall symptoms associated with MI?
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Chest pain, initially an increased HR and BP which then drops when the heart is no longer able to compensate, ashen, cool, clammy skin, fatigue, shortness of air, anxiety, fever, nausea, vomiting, peripheral edema (right), JVD (right), crackles in lung bases (left), S3, S4 or holosystolic murmur development, dyspepsia.
What typically happens to glucose levels after an MI?
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They go up, glucose is freed to allowed the damaged myocardium to use it for anaerobic metabolism (because oxygen isn't as readily used)
What ECG changes are permanent from a STEMI?
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A pathologic Q wave
At what point is the area injured by an MI considered healed (how long after the event)?
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6 weeks
What is ventricular remodeling?
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The compensatory response of the heart to an MI where unaffected heart tissue begins to remodel, hypertrophy and dilate.
What are the problems associated with ventricular remodeling?
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Heart failure can develop, especially in people with atherosclerosis in other coronary arteries and/or an anterior MI.
What is the most common complication from an MI?
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Dysrhythmias (80%)
What is the most common cause of death of a patient experiencing an MI prior to reaching the hospital?
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Dysrhythmias
  
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