Secondary Prevention of Myocardial Infarction Flashcards

Flashcards covering key aspects of secondary prevention of myocardial infarction, including dual antiplatelet therapy, statins, lifestyle advice, and differences between STEMI and NSTEMI.

Dual antiplatelet therapy post-MI

Aspirin 75mg daily plus a P2Y12 inhibitor (clopidogrel or ticagrelor) for 2 months, followed by lifelong aspirin.

Statin therapy post-MI

Atorvastatin 80mg daily, titrated to the maximum tolerated dose according to the ACG guidelines.

MRA

Mineralocorticoid Receptor Antagonists (Spironolactone/Eplerenone) management post MI

Smoking Cessation (Lifestyle Advice)

Smoking cessation is critical after a myocardial infarction to prevent future cardiovascular events.

Cardioprotective Diet (Lifestyle Advice)

Following a cardioprotective diet is crucial for managing BP and Cholesterol.

STEMI

ST-elevation myocardial infarction. ECG will show ST elevation. Involves full myocardial necrosis due to complete occlusion of a coronary artery. Symptoms include severe chest pain radiating to the arm/jaw, and sweating.

NSTEMI

Non-ST-elevation myocardial infarction is identified by ST depression or T wave inversion on an ECG. Involves partial myocardial necrosis due to partial occlusion of a coronary artery. Symptoms may be delayed and subtle.