Acute Coronary Syndrome: MCCQE Notes
The first decision is STEMI or not, because it changes the clock. Everything else follows from that fork.
Structured the way you revise — mechanism, discriminators, first-line management, and the details that separate the right answer from the plausible one.
7 notes
The first decision is STEMI or not, because it changes the clock. Everything else follows from that fork.
Four drug classes change mortality and everything else treats symptoms. Knowing which is which answers most questions.
Diagnostic thresholds depend on how the pressure was measured, and the treatment target depends on the patient. Both are commonly examined.
Separate the harmless 'digoxin effect' (reverse-tick ST depression) from true toxicity, which causes almost any arrhythmia.
Sinus tachycardia is the commonest ECG in PE; S1Q3T3 is famous but uncommon. The ECG supports, but never excludes, the diagnosis.
A regular narrow-complex tachycardia at 150/min should always prompt the question: is this 2:1 atrial flutter?
A sodium-channelopathy causing coved ST elevation in the right precordial leads and a risk of sudden cardiac death in structurally normal hearts.