NSTEMI

Question 1

What is a NSTEMI?

Answer 1

Troponin positive ACS without ST-segment elevation

Question 2

What symptoms might someone experience in an ACS?

Answer 2

Acute central chest pain lasting >20 mins, nausea, sweatiness, dyspnoea, palpitations

Question 3

What might an ECG look like?

Answer 3

ST depression, T-wave inversion, normal

Question 4

What is the most sensitive and specific cardiac enzyme test?

Answer 4

Troponin

Question 5

What would you give in all NSTEMIs?

Answer 5

Fondaparinux

Question 6

What scoring is used to determine risk of ACS?

Answer 6

Grace score

Question 7

What would you do if Grace score is high in unstable angina and NSTEMI?

Answer 7

Angiography and PCI, aspirin and prasugrel

Question 8

What would you do if Grace score is low in unstable angina and NSTEMI?

Answer 8

Ticagrelor and aspirin