Acute Coronary Syndrome (ACS) Mnemonic

Hai guys. 😁

Today I would like to teach about Acute Coronary Syndrome(ACS) which is a common topic to be mastered by medical students.❤️

I will try to make you understand ACS in a simpler way.😚

Hope all of you will benefit from this posting.

⚠️ACS can be divided into 3 :

1️⃣Unstable angina

2️⃣Non ST elevation myocardial infarction(NSTEMI)

3️⃣ST elevation myocardial infarction(STEMI)

🧰Mechanism of ACS :

⛑️rupture or erosion of fibrous cap of a coronary artery plaque

☠️Unstable angina can be differentiated from NSTEMI by :

1️⃣ECG

2️⃣Cardiac biomarkers

❣️The best cardiac biomarker is :

Troponin T and I

🤎The best cardiac biomarker after Troponin is :

CK-MB

💊Principle of STEMI management :

🤕pain relief

🗑️establishing early reperfusion

📛treatment of early complications

2 types of reperfusion strategy :

📌Percutaneous coronary intervention(PCI)

🧼fibrinolysis/thrombolysis

⚠️⚠️⚠️Indication of of fibrinolytic therapy :

should only be given to patients with STEMI only!!!!!!!!!!!💢😡

👇Inferior myocardial infarction(MI), we must do right sided ECG to look for :

lead V4R ✌️4️⃣ for right ventricular infarction

🩺Treatment of right ventricular infarction :

💦optimisation of IV fluids(key therapy to correct hypotension)

💘inotropes

💊2 drugs contraindicated in right ventricular infarction :

1️⃣nitrates

2️⃣diuretics

💊💊💊For the treament of NSTEMI, the mnemonic that I use is :

"MONARCH BASIC"

"MONARCH"

"BASIC"

Hope this note can help you in memorising Acute Coronary Syndrome(ACS) better and ease your endeavour in learning medicine.😍

Feel free to share it.🙈

See ya.👋