Accute Coronary Syndrome
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Transcript of Accute Coronary Syndrome
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Acute Coronary Syndrome
Alberto Foschi, MDCardiology DepartmentSaint Francis Hospital
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Acute Coronary Syndrome
What does this mean?
• Acute– “All of the sudden” event
• Coronary– Involves arteries of the heart
• Syndrome
– Symptoms and signs
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Agenda
• Risk factors
• Presentation
• Diagnosis
• Treatment
• Recovery
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Risk FactorsControllable
• Diabetes
• Hypertension
• Obesity
• Smoking
• High cholesterol
• Metabolic syndrome
• Stressful events
Uncontrollable
• Family history
• Age
• Genetic sex
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Presentation
• Chest Pain
– Center of chest
– May radiate to arm or jaw
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Presentation
• Shortness of breath– Heart doesn’t receive enough blood
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Presentation
• Palpitations– Extra beats
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Presentation
• Cold Sweat
• Perspiration
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Presentation
• Faint Feeling
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Presentation
• Nausea or vomiting
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Diagnosis
• Call 911 for emergency attention
• Emergent electrocardiogram
• Transfer to Chest Pain Center for treatment and confirmation of diagnosis
• “Time is muscle”– Act quickly
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Treatment
• Drugs for symptom relief
– To treat pain
– To alleviate shortness of breath
• Immediate angiogram and angioplasty (if done in under 90 minutes of onset of symptoms)
– Reduces mortality significantly
• Rule of 10 to 1
– Every 10 minutes saved decreases mortality by 1%
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Recovery
• Aggressive correction of all risk factors
• Cardiac rehabilitation program
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Actual Angiogram
Angiogram shows complete
blockage
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Actual Angiogram
This shows the expansion of
the stent by the balloon
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Actual Angiogram
The final picture of the
angiogram after the
coronary stent placement.
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