Non ST-MI Klavuzu Güncellendi - ATUDER
Non ST-MI Klavuzu G?ncellendi
Dr. Selim Bozkurt Kahramanmara S?t?? mam ?niversitesi Tip Fak?ltesi, Acil Tip AD.
J Am Coll Cardiol. 2014;64(24):e139-e228. doi:10.1016/j.jacc.2014.09.017
Volume 64, Issue 24, December 2014 > Clinical Practice Guideline| December, 2014 2014 AHA/ACC Guideline for the Management of Patients With Non?STElevation Acute Coronary Syndromes
A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines
nternet Adresi:
? Hasta bavurusunda unstabil angina ve NSTEMI ayirimi yapilamaz ve bu y?zden klavuzda birlikte d??n?lm?t?r.
? AKS, koroner kan akiminda ani azalmaya bali olarak gelien akut miyokardiyal iskemi yada infarkti tanimlamak i?in kullanilir.
? Akut Koroner Sendromlu hastalarin ?'? NSTE-ACS hastalaridir.
? ABD `de yillik 600.000'den fazla NSTE-ACS tanisi konmaktadir.
Akut Koroner Sendrom (ACS)
Onset of NSTE-ACS
Hospital Management
-Initial recognition and management in the -Medication
ED by first responders or ED personnel -Conservative versus invasive strategy
-Risk stratification -Immediate management
-Special groups -Preparation for discharge
Management Prior to NSTE-ACS
Secondary Prevention/ Long-Term Management
Presentation Working Dx
Ischemic Discomfort ACS
1- Normal arter 2- subintimada ekstrasell?ler lipid 3- Fibrofatty aamasi 4-fibr?z cap'in zayiflamasi ve prokoag?lan salinim 5- pihtilamanin balamasina yol a?an fibr?z cap'in yirtilmasi 6- tromb?s resorpsiyonunu takiben kollojen birikimi ve d?z kas h?cre b?y?mesi.
Tromb?s formasyonu ve olasi koroner vazospazm etkilenen koroner arterde kan akimini azaltir ve iskemik g??s arisi oluur.
Acute Coronary Syndromes
Presentation Working Dx
Ischemic Discomfort ACS
ECG Cardiac Biomarker
No ST Elevation
NSTE-ACS
UA
NSTEMI*
ST Elevation
STEMI *
Final Dx
Unstable Angina
Myocardial Infarction
NQMI
QwMI
Noncardiac Etiologies
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