Myths Cag
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A.C.S-U.A.-ACUTE.M.I.MYTHS • Lot of myths,
misunderstandings about—unstable angina
Myth-1-all –UNSTABLE-ANGINApatients- need c.a.g • 1.its not that all
unstable, angina cases • Must undergo angiogram
Myth-2-All blocks-need to manage • All blocks-do not need • To be shaved • Cleaned • Blasted • ballooned
Myth-3-stents-survival • more the number
of stents,more the survival
Myth-4-nothing clinical • Actually entire
diagnosis • Of unstable angina is clinical • Next is lab
Myth-5-medical management • Its not that medical management is a failure • Only in specific cases intervention necessary
Myth-6-need expensive -iccu • What is needed is experience • Not overexorbitant-set up • Simple, average set-up is enough
Myth-7-vessel stenos is • Old model-slow,
progressive ,vessel narrowing leading to complete block • Newer-modelirregular, plaque • Sudden occlusion
Myth-8-clots• Clots need to be treated with balloons • Blades • But in first hour drugs • Are better than • intervention
MYTH-9-G.A.S.VERSUS unstable angina • G=GASTRITIS • A=ANALGESIA • S=SHAKY-
NERVOUS • PATIENTS • Finally turn out to be • Unstable angina cases
A-B-C-OF UNSTABLE ANGINA • A=ASPIRIN • B=BETA BLOCKER • C=CLOPIDOGREL • C=CLOT BUSTERS
misunderstandings about—unstable angina
Myth-1-all –UNSTABLE-ANGINApatients- need c.a.g • 1.its not that all
unstable, angina cases • Must undergo angiogram
Myth-2-All blocks-need to manage • All blocks-do not need • To be shaved • Cleaned • Blasted • ballooned
Myth-3-stents-survival • more the number
of stents,more the survival
Myth-4-nothing clinical • Actually entire
diagnosis • Of unstable angina is clinical • Next is lab
Myth-5-medical management • Its not that medical management is a failure • Only in specific cases intervention necessary
Myth-6-need expensive -iccu • What is needed is experience • Not overexorbitant-set up • Simple, average set-up is enough
Myth-7-vessel stenos is • Old model-slow,
progressive ,vessel narrowing leading to complete block • Newer-modelirregular, plaque • Sudden occlusion
Myth-8-clots• Clots need to be treated with balloons • Blades • But in first hour drugs • Are better than • intervention
MYTH-9-G.A.S.VERSUS unstable angina • G=GASTRITIS • A=ANALGESIA • S=SHAKY-
NERVOUS • PATIENTS • Finally turn out to be • Unstable angina cases
A-B-C-OF UNSTABLE ANGINA • A=ASPIRIN • B=BETA BLOCKER • C=CLOPIDOGREL • C=CLOT BUSTERS
