IHD & Acute Coronary Syndromes

1.Discuss about the etiopathology, clinical features, investigations, treatment and complications of acute coronary syndrome

2.Acute NSTEMI

• a) Unstable angina
• b) 1 & 2 are correct
• c) 1 & 3 are correct
• d) 3 & 4 are correct
• e) 2 & 4 are correct
• f) The drugs used to treat hyperkalemia are

3.Acute STEMI 2) Acute ischemic stroke of <4.5 hours

4.A 45-year-old man who is a chronic smoker and hypertensive, comes with history of severe chest pain since the last 30 minutes. The pain is radiating to the jaw and left arm and is associated with palpitations

• a) What is the probable diagnosis
• b) Describe the etiopathology of this condition
• c) How do you investigate this patient
• d) How do you treat this patient
• e) What are the complications of this condition

5.A 65-year-old male chronic smoker comes to the emergency room with retrosternal chest discomfort, associated with sweating and breathing difficulty since 30 minutes.

• a) What is the most probable diagnosis
• b) What are the differential diagnoses
• c) What will be the clinical features on examination of this patient
• d) How will you confirm the diagnosis
• e) Treatment of this patient in the emergency room and long term management

1.Draw ECG of acute inferior wall myocardial infarction

2.Unstable angina

3.Indications of TMT (Treadmill Test)

4.Drugs used in management of myocardial infarction

5.Anatomy of coronary circulation

6.Electrocardiographic changes in acute inferior wall myocardial infarction

7.Cardiac enzymes

8.Dressler’s syndrome

9.Cardiac troponins

10.List risk factors for acute myocardial infarction