Could you please correct me if my thought process is incorrect: 1) NSTEMI - heparin to prevent clot extension so from clotting on top of the atherosclerosis. STEMI- no heparin because the clot has already extended all the way so heparin would not do anything 2) NSTEMI- no fibrinolytics because there is no clot on top of the atherosclerosis just yet and fibrinolytics would not break down atherosclerosis so here they would do nothing. STEMI- Fibrinolytics to break down the clot
Thank you for all these videos. I was feeling really stressed out thinking about my upcoming exams and knowing your vids are online to make studying easier have really helped me.
Fantastic summary of all the most significant ACS dx/tx information, presented clearly and succinctly. Stopped by here 2 days before my Medicine shelf--I'm so glad I did! Thank you, Dr. Bolin.
Awesome video. I especially like how you described when to lyse in STEMI and the follow up incl PCI or CABG. I've never heard this described so simply. SS
Thanks Doc for a very informative and understandable lecture. Just for clarification, if this is the old version, is there an updated version? Thanks again!
A drug eluting stent was placed in the mid LAD of a patient and did not re-establish flow. This patient did not undergo CABG. Any thoughts on why this is the case? Thanks.
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Great video, but most specific blood test is troponin. CK-MB is most useful to detect reinfarction.
Could you please correct me if my thought process is incorrect:
1) NSTEMI - heparin to prevent clot extension so from clotting on top of the atherosclerosis.
STEMI- no heparin because the clot has already extended all the way so heparin would not do anything
2) NSTEMI- no fibrinolytics because there is no clot on top of the atherosclerosis just yet and fibrinolytics would not break down atherosclerosis so here they would do nothing.
STEMI- Fibrinolytics to break down the clot
Note: Routine use of supplemental oxygen can possibly increase risk of mortality. Use only when O2 sat gets below probably 94%.
I want to thank you for your videos. I am a nurse but really enjoy learning from you.
Thank you for all these videos. I was feeling really stressed out thinking about my upcoming exams and knowing your vids are online to make studying easier have really helped me.
Fantastic summary of all the most significant ACS dx/tx information, presented clearly and succinctly. Stopped by here 2 days before my Medicine shelf--I'm so glad I did! Thank you, Dr. Bolin.
today is my graduation exam and i'm watching your amazing review series for reviewing
Correction: myoglobin is the first one to rise but its not specific, also the most specific one is troponins but they usually rise after 4 hours.
Thank You so much Dr. Paul for these videos. Your lectures are awesome !!
Awesome video. I especially like how you described when to lyse in STEMI and the follow up incl PCI or CABG. I've never heard this described so simply.
SS
Thank you dr paul
Excellent lecture
Great lecture as usual. Really well explained !
Thanks Doc for a very informative and understandable lecture. Just for clarification, if this is the old version, is there an updated version? Thanks again!
Saturday, October 1, 2022. Cardiology: Acute Coronary Syndrome (ACS). By MD Paul Bolin.
These lectures are awesome. However, thrombolytics in the setting of an MI can be given up to 12 hrs from onset of symptoms. Three hours for strokes.
Yes👍👍
very nice ....
But if we have a patient with STEMI and we can do PCI immediately , in this case do we have to give the patient t-PA
No. You proceed with PCI immediately
A drug eluting stent was placed in the mid LAD of a patient and did not re-establish flow. This patient did not undergo CABG. Any thoughts on why this is the case? Thanks.
Good video. Explained very well.
Nice video
where does the term ischemic heart disease come into the chart?
t-PA is not thrombolytic , its fibrinolytic
24:56... Less than 12 hours and not less than 24 hours