2018 Acute Coronary Syndrome
2018 Acute Coronary Syndrome
Robert Bender, DO, FACOI, FACC Central Maine Heart and Vascular Institute
ACS
Definitions: Acute Myocardial Ischemia
} Unstable Angina
Non-ST-Elevation MI (NSTEMI) 2/3
ST-Elevation MI (STEMI)
1/3
ACS
Pathophysiology : acute change/destabilization/rupture of coronary arterial plaque with inflammation and acute thrombus formation.
ACS Evaluation
History Physical EKG
} treatment triage
Serum cardiac markers/enzymes
* R/O requires 8-12 hrs after sx onset
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