19 extractive question-and-answer pairs built from Unstable Angina/Nstemi, published by icmr.gov.in. Every answer is a verbatim span of text the source prints, and each row carries the passage it sits in, its offset in that passage, the source quote, the page and the location in the document, so any row can be checked against the original. 10 of the 19 pairs (52.6%) are explanatory questions and 9 restate a figure. 100.00% of rows pass the corpus quality gate.
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https://www.desidata.in/api/datasets/unstable-angina-nstemi-management-question-and-answer-dataset/downloadDataset downloads are free. For Python or API downloads, sign in once and create a free DD token; set it as DD_TOKEN or save it in your notebook's secrets. Requests are linked to your account so your download history and counts stay accurate.
# One-time install: pip install desidata
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import desidata
df = desidata.load("unstable-angina-nstemi-management-question-and-answer-dataset")
df.head()Sign in with Google to download.
Usable for analysis, but expect some cleaning before you rely on it.
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First 10 of 19 rows
| question | answer | context | answer_start | question_type | knowledge_quality_score | source_quote | source_page | source_location | confidence | validation_status |
|---|---|---|---|---|---|---|---|---|---|---|
| What revascularization method is preferred for diabetes patients with multivessel or left main disease? | CABG over PCI | Continue aspirin and heparin 3. Load with clopidogrel or prasugrel or ticagralor if not already done 4. Optimal medical therapy to continue (BB, high dose atorvastatin, ACE-inhibitors, intra-venous nitrates if ongoing pain, severe MR or LVF) 5. Detailed echocardiography 6. Low risk patients may undergo non-invasive risk stratification with exercise stress test, CT coronary angiography or stress imaging 7. Very high risk, high risk and intermediate risk patients may be subjected to coronary revascularization Revascularization: 1. Discuss pros & cons of re-vascularization and prolonged dual anti-platelet therapy 2. Revascularize if anatomy is suitable 3. Prefer CABG over PCI in DM with multivessel disease or left main disease Revascularization strategy: 1. Very High risk: Urgent re-vacsularization (within few hours) after loading preferably with Ticagrelor or prasugrel if PCI is planned 2. | 668 | comparison | 0.840 | Prefer CABG over PCI in DM with multivessel disease or left main disease Revascularization strategy: 1. | 1 | page=1,block=7 | 0.700 | valid |
| What management steps are suggested for low-risk patients at the district hospital? | Life style modification Risk factor control Secondary prevention | PHC/CHC LEVEL 1, ECG, Troponin. 2. Start -Aspirin, Clopidogrel in loading dose -Heparin/ LMWH -High dose statin -Metoprolol 3. Risk stratify GRACE score or TIMI score - Refer High/ Intermediate risk to PCI capable centre - Refer Low risk for further evaluation to DH 4. Refer to PCI capable centre if: - Acute LVF - Hypotension - Systolic murmur - Arrythmia DISTRICT HOSPITAL 1.Admit in ICU equipped with ECG monitoring and defibrillator 2.Troponin & bio-chemistry if not done 3.Serial ECG & echocardiography 4.Continue Aspirin, Clopidogrel, Heparin & Metoprolol 5.Add nitrates if needed 6.Management for different risk categories: -Very high,High or Intermediate risk or LVEF <40%: Refer for revascularization -Low risk patients: Conservative management Life style modification Risk factor control Secondary prevention TERTIARY CENTRE 1. Admit, reassess clinically and monitor in ICCU 2. | 755 | list | 0.820 | Refer to PCI capable centre if: - Acute LVF - Hypotension - Systolic murmur - Arrythmia DISTRICT HOSPITAL 1.Admit in ICU equipped with ECG monitoring and defibrillator 2.Troponin & bio-chemistry if not done 3.Serial ECG & echocardiography 4.Continue Aspirin, Clopidogrel, Heparin & Metoprolol 5.Add nitrates if needed 6.Management for different risk categories: -Very high,High or Intermediate risk or LVEF <40%: Refer for revascularization -Low risk patients: Conservative management Life style modification Risk factor control Secondary prevention TERTIARY CENTRE 1. | ||||
| What medications can be loaded if not already done at a tertiary center? | clopidogrel or prasugrel or ticagralor | Continue aspirin and heparin 3. Load with clopidogrel or prasugrel or ticagralor if not already done 4. Optimal medical therapy to continue (BB, high dose atorvastatin, ACE-inhibitors, intra-venous nitrates if ongoing pain, severe MR or LVF) 5. Detailed echocardiography 6. Low risk patients may undergo non-invasive risk stratification with exercise stress test, CT coronary angiography or stress imaging 7. Very high risk, high risk and intermediate risk patients may be subjected to coronary revascularization Revascularization: 1. Discuss pros & cons of re-vascularization and prolonged dual anti-platelet therapy 2. Revascularize if anatomy is suitable 3. Prefer CABG over PCI in DM with multivessel disease or left main disease Revascularization strategy: 1. Very High risk: Urgent re-vacsularization (within few hours) after loading preferably with Ticagrelor or prasugrel if PCI is planned 2. | 42 | list | 0.820 | Load with clopidogrel or prasugrel or ticagralor if not already done 4. | 1 | page=1,block=7 | 0.700 | valid |
| What other symptoms can occur with diffuse retrosternal pain? | Radiation to arms or neck or back • Associated with sweating | • Diffuse retrosternal pain, heaviness or constriction. Radiation to arms or neck or back • Associated with sweating • Easily reproduced with post-meal exertion • Consider atypical presentation: Exertional fatigue or breathlessness or profuse sweating or epigastric discomfort More likelihood if known patient of CAD/ multiple risk factors | 56 | list | 0.820 | • Diffuse retrosternal pain, heaviness or constriction. Radiation to arms or neck or back • Associated with sweating • Easily reproduced with post-meal exertion • Consider atypical presentation: Exertional fatigue or breathlessness or profuse sweating or epigastric discomfort More likelihood if known patient of CAD/ multiple risk factors | 1 | page=1,block=20 | 0.700 | valid |
| What tests are considered essential for diagnosing cardiac conditions? | 1. Hemogram 2. Creatinine 3. Sugar, HbA1C 4. Fasting lipids 6. ECG 7. Troponin T/ Troponin I 8. Plain X-ray chest 9. Echocardiography | Dissection of aorta (unequal/ absent peripheral pulses) Respiratory Evaluation: Pleuritis/ pneumonitis/ embolism/ pneumothorax Pericardial rub Neuralgia or herpes 2. TIMI SCORE: One point for each of following 1. Age >65 yrs 2. More than 3 risk factors 3. Known CAD (>50% lesion) 4. Recurrence of angina in 24 hrs 5. Aspirin use within 7 days 6. ST deviation >0.5 mV 7. Raised cardiac markerss Sum total = TIMI score of patient ESSENTIAL INVESTIGATIONS 1. Hemogram 2. Creatinine 3. Sugar, HbA1C 4. Fasting lipids 6. ECG 7. Troponin T/ Troponin I 8. Plain X-ray chest 9. Echocardiography | 453 | list | 0.820 | Raised cardiac markerss Sum total = TIMI score of patient ESSENTIAL INVESTIGATIONS 1. Hemogram 2. Creatinine 3. Sugar, HbA1C 4. Fasting lipids 6. ECG 7. Troponin T/ Troponin I 8. Plain X-ray chest 9. Echocardiography | 1 | page=1,block=25 | 0.700 | valid |
| What conditions are classified as very high risk based on clinical features, GRACE score, and TIMI score? | Acute LVF -Hypotension -Uncontrolled Ventricular arrhythmia -Severe MR | Based on clinical features, GRACE score & TIMI score A).Very high risk: -Acute LVF -Hypotension -Uncontrolled Ventricular arrhythmia -Severe MR B. High Risk: -GRACE score > 140 or TIMI score >4 C. Intermediate Risk: -GRACE score 109-140 or TIMI score 2-3 D. Low Risk: -Grace score <108 or TIMI score 0-1 | 73 | list | 0.820 | Based on clinical features, GRACE score & TIMI score A).Very high risk: -Acute LVF -Hypotension -Uncontrolled Ventricular arrhythmia -Severe MR B. | 1 | page=1,block=88 | 0.700 | valid |
| What medications are included in the conservative management for low-risk patients? | Aspirin, clopidogrel, BB and statin | A)Low risk: 1.Conservative management: Aspirin, clopidogrel, BB and statin 2. CT coronary angiography/TMT within a week to risk stratify 3.Refer low risk for re-vascularization if -Recurrent pain -Hemodynamic deterioration -New ECG change B. Intermediate/ Very High/ High risk: Re-vascularization OPTIONAL INVESTIGATIONS 1. Coronary Angiography 2. CT scan including coronary angiography 3. Stress Radionuclide/ echocardiographic imaging 4. MRI 5. Coronary Fractional Flow Reserve 5. Intra-vascular Ultrasound Pricking or piercing or stabbing type of pain | 39 | list | 0.820 | A)Low risk: 1.Conservative management: Aspirin, clopidogrel, BB and statin 2. | 1 | page=1,block=93 | 0.700 | valid |
| Under what conditions should low-risk patients be referred for re-vascularization? | Recurrent pain -Hemodynamic deterioration -New ECG change | A)Low risk: 1.Conservative management: Aspirin, clopidogrel, BB and statin 2. CT coronary angiography/TMT within a week to risk stratify 3.Refer low risk for re-vascularization if -Recurrent pain -Hemodynamic deterioration -New ECG change B. Intermediate/ Very High/ High risk: Re-vascularization OPTIONAL INVESTIGATIONS 1. Coronary Angiography 2. CT scan including coronary angiography 3. Stress Radionuclide/ echocardiographic imaging 4. MRI 5. Coronary Fractional Flow Reserve 5. Intra-vascular Ultrasound Pricking or piercing or stabbing type of pain | 181 | list | 0.820 | CT coronary angiography/TMT within a week to risk stratify 3.Refer low risk for re-vascularization if -Recurrent pain -Hemodynamic deterioration -New ECG change B. | 1 | page=1,block=93 | 0.700 | valid |
| What are some optional tests for patients at intermediate, high, or very high risk? | Coronary Angiography 2. CT scan including coronary angiography 3. Stress Radionuclide/ echocardiographic imaging 4. MRI 5. Coronary Fractional Flow Reserve 5. Intra-vascular Ultrasound | A)Low risk: 1.Conservative management: Aspirin, clopidogrel, BB and statin 2. CT coronary angiography/TMT within a week to risk stratify 3.Refer low risk for re-vascularization if -Recurrent pain -Hemodynamic deterioration -New ECG change B. Intermediate/ Very High/ High risk: Re-vascularization OPTIONAL INVESTIGATIONS 1. Coronary Angiography 2. CT scan including coronary angiography 3. Stress Radionuclide/ echocardiographic imaging 4. MRI 5. Coronary Fractional Flow Reserve 5. Intra-vascular Ultrasound Pricking or piercing or stabbing type of pain | 324 | list | 0.820 | Intermediate/ Very High/ High risk: Re-vascularization OPTIONAL INVESTIGATIONS 1. Coronary Angiography 2. CT scan including coronary angiography 3. Stress Radionuclide/ echocardiographic imaging 4. MRI 5. Coronary Fractional Flow Reserve 5. Intra-vascular Ultrasound Pricking or piercing or stabbing type of pain | 1 | page=1,block=93 | 0.700 | valid |
| What symptoms accompanying pain require emergency referral? | Associated breathlessness, profuse sweating or syncope | • Pain lasting for more than 20 minutes • Recurrent or ongoing pain or rest pain • Associated breathlessness, profuse sweating or syncope • Hemodynamic instability Refer as emergency to nearest Primary PCI/Thrombolysis capable centre Rest pain beyond 24hrs or without above features may be referred early for further evaluation | 83 | list | 0.780 | • Pain lasting for more than 20 minutes • Recurrent or ongoing pain or rest pain • Associated breathlessness, profuse sweating or syncope • Hemodynamic instability Refer as emergency to nearest Primary PCI/Thrombolysis capable centre Rest pain beyond 24hrs or without above features may be referred early for further evaluation | 1 | page=1,block=102 | 0.700 | valid |
Read straight from the file — download or use the API URL for the full dataset.
| 1 |
| page=1,block=7 |
| 0.700 |
| valid |