PCCN: Acute Coronary Syndrome REVISED AND
UPDATED FOR 2026/2027 ACTUAL EXAM
COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+||BRAND NEW!!
Save
Terms in this set (28)
Acute Coronary Syndrome 12 Lead NSTEMI will show:
ECG: ST Depression or T-Wave inversion.
NSTEMI vs STEMI Negative troponin is a sign of unstable angina.
Positive troponin is a sign of NSTEMI.
-Anticoagulation ASA, Heparin, BB, nitrates.
-CABG if Left Main coronary artery or > 3 vessels.
STEMI will show:
Positive troponins.
-PCI, fibrinolytics, CABG.
What are the Troponin levels for Negative Troponin in unstable angina.
unstable angina and NSTEMI? -troponin less than 0.03.
Positive Troponin in NSTEMI.
-Troponin above 0.03
, What does the heart do with When there's damage to the heart muscle cells or
Troponin during a heart attack? they die for any reason, they release a unique
chemical called troponin.
What is Variant (Prinzmetal's) Angina? -Chest pain that occurs at rest or when sleeping.
What medications are used to treat
coronary vasospasm caused by Calcium channel blockers such as diltiazem and
variant prinzmetal's angina? nitrates!
What will the 12-Lead-ECG show with 12 Lead ECG will show changes with symptoms.
prinzmetal's angina?
12 Lead ECG will be normal if there are no
symptoms.
Chest pain is usually a sign or Sign or precursor to a myocardial infarction.
precursor of what? What level of Troponin I above 0.03 ng/mL is a sign of MI.
troponin is a sign of a myocardial
infarction?
What is NSTEMI? What are the signs Partial occlusion of coronary artery(s).
and symptoms? What will ECG look Pain/symptoms may occur at rest with ↑ frequency,
like? What Medications are used for heaviness, or pressure.
NSTEMI? 12 lead ECG:
✺ Troponin elevated
✺ ST depression/T wave inversion is a sign of
ischemia.
✺ If 8 or more leads with changes and elevation in
aVR = highly suspicious of left main disease!!!
Treatment: Aspirin, nitroglycerin, heparin, BB.
✺ Early PCI if high risk
✺ Heart cath usually within 24 - 48 hours
✺ "Ischemia-guided strategy"
UPDATED FOR 2026/2027 ACTUAL EXAM
COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+||BRAND NEW!!
Save
Terms in this set (28)
Acute Coronary Syndrome 12 Lead NSTEMI will show:
ECG: ST Depression or T-Wave inversion.
NSTEMI vs STEMI Negative troponin is a sign of unstable angina.
Positive troponin is a sign of NSTEMI.
-Anticoagulation ASA, Heparin, BB, nitrates.
-CABG if Left Main coronary artery or > 3 vessels.
STEMI will show:
Positive troponins.
-PCI, fibrinolytics, CABG.
What are the Troponin levels for Negative Troponin in unstable angina.
unstable angina and NSTEMI? -troponin less than 0.03.
Positive Troponin in NSTEMI.
-Troponin above 0.03
, What does the heart do with When there's damage to the heart muscle cells or
Troponin during a heart attack? they die for any reason, they release a unique
chemical called troponin.
What is Variant (Prinzmetal's) Angina? -Chest pain that occurs at rest or when sleeping.
What medications are used to treat
coronary vasospasm caused by Calcium channel blockers such as diltiazem and
variant prinzmetal's angina? nitrates!
What will the 12-Lead-ECG show with 12 Lead ECG will show changes with symptoms.
prinzmetal's angina?
12 Lead ECG will be normal if there are no
symptoms.
Chest pain is usually a sign or Sign or precursor to a myocardial infarction.
precursor of what? What level of Troponin I above 0.03 ng/mL is a sign of MI.
troponin is a sign of a myocardial
infarction?
What is NSTEMI? What are the signs Partial occlusion of coronary artery(s).
and symptoms? What will ECG look Pain/symptoms may occur at rest with ↑ frequency,
like? What Medications are used for heaviness, or pressure.
NSTEMI? 12 lead ECG:
✺ Troponin elevated
✺ ST depression/T wave inversion is a sign of
ischemia.
✺ If 8 or more leads with changes and elevation in
aVR = highly suspicious of left main disease!!!
Treatment: Aspirin, nitroglycerin, heparin, BB.
✺ Early PCI if high risk
✺ Heart cath usually within 24 - 48 hours
✺ "Ischemia-guided strategy"
