NSTEMI

Question 1

NSTEMI S/SX (acute MI)

Answer 1

• chest pain/discomfort, SOB, N/V, weakness/malaise
• ECG: ST depression
• Elevated troponin levels (Cardiac Enzymes +)

Question 2

NSTEMI goals of care

Answer 2

• prevent total occlusion of the vessel
• need for revascularization (PCI or surgery) vs medical management made based on risk stratification, symptom resolution, and other indicators of ongoing myocardial damage/ischemia

Question 3

NSTEMI discharge meds

Answer 3

1. ASA
2. P2Y12 inhibitor
3. Statin
4. BB
5. If EF <40%, ACEI/ARB AND aldosterone antagonist (spironolactone)

Question 4

Spironolactone MOA

Answer 4

• aldosterone antagonist
• K+ sparing diuretic
• helps keep your body from absorbing too much salt and keeps your K+ levels from getting too low