Acute Coronary Syndrome.pptx
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Transcript of Acute Coronary Syndrome.pptx
![Page 1: Acute Coronary Syndrome.pptx](https://reader036.fdocuments.net/reader036/viewer/2022062409/563db8f6550346aa9a98a80e/html5/thumbnails/1.jpg)
Nguyen Van Si
Department of Internal Medicine
ACUTE CORONARY SYNDROME
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CARDIOVASCULAR RISK FACTORS
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CORONARY HEART DISEASE
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STABLE ANGINA• Retrosternal chest discomfort
• Pressure, heaviness, squeezing, burning, or choking sensation
• Radiation of pain are arms, shoulders, and neck
• Precipitated by exertion, exposure to cold, or emotional stress
• Relieved by rest or nitroglycerin
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ANGINA PECTORIS
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UNSTABLE ANGINAAt least one of the following
• Occurs at rest or minimal exertion and usually lasts >20 minutes
• Being severe and described as frank pain, and of new onset (within 1 month)
• Crescendo pattern (more severe, prolonged, or increased frequency than previously)
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ACUTE CORONARY SYNDROME
ECG
CARDIAC MARKERS
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ACUTE CORONARY SYNDROME• ST elevation myocardial infarction
• Non-ST elevation myocardial infarction
• Unstable angina
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ELECTROCARDIOGRAPHY
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ELECTROCARDIOGRAPHY
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CARDIAC BIOMARKERS
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ST ELEVATION MYOCARDIAL INFARCTIONTreatment
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• Aspirin
• Clopidogrel
• Oxygen
• Nitrate
• Morphine sulfate
TREATMENT
Routine Measures Antiplatelet
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• For plaque stabilization
• Regardless of lipid level
• Unfractionated heparin
• Low molecular weight heparin
TREATMENT
Anticoagulant Statin
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• ACE inhibitor should be administered within 24 hrs.
• ARB if ACE inhibitor is intolerant
• Beta-blocker should be administered promptly
TREATMENT
Beta Blocker Inhibition of RAAS
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TREATMENT
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TREATMENT
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THANK YOU FOR YOUR ATTENTION