STEMI

Question 1

Which is the first cardiac biomarker elevated in an ischaemic event?

Answer 1

Myoglobin

Question 2

Which cardiac biomarker is best used to detect reinfarction?

Answer 2

Creatine Kinase

Question 3

What are some features of STEMI on ECG?

Answer 3

Hyperacute T waves
ST elevation
Pathological Q waves
T wave inversion
New LBBB

Question 4

What criteria used to diagnose STEMI in the context of LBBB?

Answer 4

Sgarbossa Criteria

Question 5

What are some poor prognostic factors in acute coronary syndrome?

Answer 5

• Age
• Killip class (i.e cardiogenic shock or not)
• Development or PMH of
  heart failure
• Peripheral Vascular Disease
• Initial serum Creatinine
• Systolic BP
• ST segment deviation
• elevated initial cardiac markers
• cardiac arrest on admission