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Acute Myocardial Infarction Care Cheat Sheet by

medical     care     heart     acute     myocardial     infarction     attack

Introd­uction; Acute Myocardial Infarction Care

Myocardial infarction occurs when myocardial ischemia, a diminished blood supply to the heart, exceeds a critical threshold and overwhelms myocardial cellular repair mechanisms designed to maintain normal operating function and homeos­tasis. Ischemia at this critical threshold level for an extended period results in irreve­rsible myocardial cell damage or death.

Procedures

Diagnosis of acute myocardial infarction (AMI)?
Aspirin within 24 hours of arrival? *
Beta-blocker within 24 hours of arrival? *
LDL-c within 24 hours of arrival? (Test)
Thrombolytics within 30 minutes of arrival?
PCI within 120 minutes of arrival?
Prescription for aspirin at discharge? *
Prescription for beta-b­locker at discharge? *
Prescription for ACEI or ARB for LVSD? *
If LDL-c >130 mg/dL, prescr­iption for a lipid-­low­ering agent at discharge? (Test)
LDL-c known or planned aft er discharge? * (Test)
Documentation of smoking cessation counseling or advice?
Was there inpatient mortality?
*=If answer is “no,” physician, PA, or NP should document the reason in the medical record.
 

Heart Attack

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