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  • ACS - Treatment and Complication

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    Ngoc-Suong Le
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    The document discusses acute coronary syndrome (ACS) which includes unstable angina (UA), non-ST-segment elevation myocardial infarction (NSTEMI), and ST-segment elevation myocardial infarction (STEMI). It notes that while stable angina and ACS both involve plaque formation, ACS additionally involves plaque rupture. It also explains that UA/NSTEMI involve a partially occlusive thrombus while STEMI involves an occlusive thrombus. The document outlines treatment for ACS includes anti-ischemic therapy, anti-thrombotic therapy such as anti-platelet agents and anticoagulants, and general control of complications like recurrent ischemia, arrhythmias, and mechanical complications including ventricular rupture.

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    The document discusses acute coronary syndrome (ACS) which includes unstable angina (UA), non-ST-segment elevation myocardial infarction (NSTEMI), and ST-segment elevation myocardial infarction (STEMI). It notes that while stable angina and ACS both involve plaque formation, ACS additionally involves plaque rupture. It also explains that UA/NSTEMI involve a partially occlusive thrombus while STEMI involves an occlusive thrombus. The document outlines treatment for ACS includes anti-ischemic therapy, anti-thrombotic therapy such as anti-platelet agents and anticoagulants, and general control of complications like recurrent ischemia, arrhythmias, and mechanical complications including ventricular rupture.

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    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
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    Download as pptx, pdf, or txt
    14 views15 pages

    ACS - Treatment and Complication

    Uploaded by

    Ngoc-Suong Le
    The document discusses acute coronary syndrome (ACS) which includes unstable angina (UA), non-ST-segment elevation myocardial infarction (NSTEMI), and ST-segment elevation myocardial infarction (STEMI). It notes that while stable angina and ACS both involve plaque formation, ACS additionally involves plaque rupture. It also explains that UA/NSTEMI involve a partially occlusive thrombus while STEMI involves an occlusive thrombus. The document outlines treatment for ACS includes anti-ischemic therapy, anti-thrombotic therapy such as anti-platelet agents and anticoagulants, and general control of complications like recurrent ischemia, arrhythmias, and mechanical complications including ventricular rupture.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
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    Download as pptx, pdf, or txt
    of 15

    Welcome to the meeting

    ACUTE
    CORONARY
    SYNDROME
    Group 2- H.E.I

    ACUTE CORONARY
    SYNDROME
    TREATMENTCOMPLICATIONS

    Group 2- H.E.I
    Le Thi Ngoc Suong

    ACS

    Stable
    Angina

    US or NSTEMI

    STEMI

    What is similar in
    STABLE ANGINA & ACS?
    STABLE
    ANGINA

    VS

    ACS

    US or NSTEMI

    Formation of the
    PLAQUE

    STEMI

    What is DIFFERENT in
    STABLE ANGINA & ACS?
    STABLE
    ANGINA

    VS

    ACS

    RUPTURE of the
    PLAQUE

    What is different in
    UA (and NSTEMI) & STEMI?
    UA &
    NSTEMI

    Partially
    occlusive
    thrombus

    VS

    STEMI

    Occlusive
    thrombus

    How do we treat the ACS?

    Plaque rupture
    Platelet
    aggregation
    Thrombus
    formation
    Vasoconstriction
    Anti ischemic
    therapy
    Anti- thrombotic
    therapy
    Anti-platelet agents
    Anticoagulants
    General control

    What is PCI?
    Percutaneous coronary
    intervention

    COMPLICATIONS

    Recurrent ischemia
    Arrhythmias
    Myocardial dysfunction
    Right ventricular Infarction
    Mechanical complications:

    Papillary muscle rupture


    Ventricular Free wall rupture
    Ventricular septal rupture
    True ventricular aneurysm

    Pericarditis
    Thromboembolism

    Thank you for your attention

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