Canadian Health Information Management Association Practice Exam

An urgent PCI is typically performed on a patient who has which condition?

1. Nstemi or unstable angina.

2. Stemi or angina pectoris.

3. Stemi or unstable angina.

4. Unstable angina alone.

The correct answer is: Nstemi or unstable angina.

An urgent percutaneous coronary intervention (PCI) is typically performed on patients experiencing conditions that directly threaten the heart due to insufficient blood flow. Among the options presented, the choice that includes NSTEMI (non-ST-elevation myocardial infarction) or unstable angina accurately reflects situations where urgent PCI might be indicated. NSTEMI involves partial blockage of the coronary arteries leading to myocardial ischemia, which requires prompt treatment to restore blood flow and minimize heart damage. Unstable angina is characterized by sudden, unpredictable chest pain that indicates a high risk of future heart problems, including heart attacks. Both conditions warrant urgent action to prevent progression to more severe cardiac events. While STEMI (ST-elevation myocardial infarction) also necessitates urgent intervention, it is not included in the correct answer. The combination of NSTEMI or unstable angina effectively captures the urgent situations where PCI is critical for patient outcomes in terms of risk reduction and treatment efficacy. The specificity of the option in addressing both forms of acute coronary syndromes is key in this context.