Acute coronary syndromes: Difference between revisions

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==[[Xyz overview|Overview]]==
==[[Xyz overview|Overview]]==
Acute coronary syndrome (ACS) refers to any group of [[Symptom|symptoms]] attributed to obstruction of the [[coronary artery|coronary arteries]]. The most common [[symptom]] prompting [[diagnosis]] of ACS is [[chest pain]], often radiating to the [[Arm|left arm]] or [[Jaw|angle of the jaw]], pressure-like in character, and associated with [[nausea]] and [[sweating]]. Acute coronary syndrome usually occurs as a result of one of three problems: [[ST-elevation myocardial infarction]] (30%), [[non ST-elevation myocardial infarction]] (25%), or [[unstable angina]] (38%). These types are named according to the appearance of the [[electrocardiogram]]. There can be some variation as to which forms of [[myocardial infarction]] (MI) are classified under acute coronary syndrome.
ACS should be distinguished from [[Chronic stable angina|stable angina]], which is chest pain that develops during [[exertion]] and resolves at rest. New-onset [[angina]] however should be considered as a part of acute coronary syndrome, since it suggests a new problem in a [[Coronary arteries|coronary artery]]. Though ACS is usually associated with [[coronary thrombosis]], it can also be associated with [[cocaine]] use. Cardiac chest pain can also be precipitated by [[anemia]], [[bradycardia]]s or [[tachycardia]]s.


==[[Xyz historical perspective|Historical Perspective]]==
==[[Xyz historical perspective|Historical Perspective]]==

Revision as of 18:31, 3 December 2020



Resident
Survival
Guide

Acute Coronary Syndrome Chapters

Heart Attack Patient Information

Unstable Angina Patient Information

Overview

Classification

Unstable Angina
Non-ST Elevation Myocardial Infarction
ST Elevation Myocardial Infarction

Causes

Differential Diagnosis

Treatment

AHA/ACC Guidelines for Acute Coronary Syndrome

Guideline for Risk Stratification in ACS
Guideline for Pre-Hospital Evaluation and Care
Guidelines for Initial Management of ACS
Guidelines for Patients with Atrial Fibrillation Complicating ACS

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Yamuna Kondapally, M.B.B.S[2]; Tarek Nafee, M.D. [3]; Sabawoon Mirwais, M.B.B.S, M.D.[4]

Synonyms and keywords: ACS

Overview

Acute coronary syndrome (ACS) refers to any group of symptoms attributed to obstruction of the coronary arteries. The most common symptom prompting diagnosis of ACS is chest pain, often radiating to the left arm or angle of the jaw, pressure-like in character, and associated with nausea and sweating. Acute coronary syndrome usually occurs as a result of one of three problems: ST-elevation myocardial infarction (30%), non ST-elevation myocardial infarction (25%), or unstable angina (38%). These types are named according to the appearance of the electrocardiogram. There can be some variation as to which forms of myocardial infarction (MI) are classified under acute coronary syndrome. ACS should be distinguished from stable angina, which is chest pain that develops during exertion and resolves at rest. New-onset angina however should be considered as a part of acute coronary syndrome, since it suggests a new problem in a coronary artery. Though ACS is usually associated with coronary thrombosis, it can also be associated with cocaine use. Cardiac chest pain can also be precipitated by anemia, bradycardias or tachycardias.

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Xyz from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic study of choice | History and Symptoms | Physical Examination | Laboratory Findings | Electrocardiogram | X-Ray Findings | Echocardiography and Ultrasound | CT-Scan Findings | MRI Findings | Other Imaging Findings | Other Diagnostic Studies

Treatment

Medical Therapy | Interventions | Surgery | Primary Prevention | Secondary Prevention | Cost-Effectiveness of Therapy | Future or Investigational Therapies