This document discusses ischaemic heart disease and acute coronary syndrome. It defines acute coronary syndrome as a spectrum ranging from acute myocardial ischemia to myocardial infarction, resulting from an imbalance between myocardial oxygen supply and demand. It can present as ST-elevation myocardial infarction, non-ST-elevation myocardial infarction, or unstable angina. The document lists desired short-term and long-term outcomes of preventing further cardiovascular events, complications, and improving quality of life. It also mentions several risk stratification tools and provides links to online calculators.
This document discusses ischaemic heart disease and acute coronary syndrome. It defines acute coronary syndrome as a spectrum ranging from acute myocardial ischemia to myocardial infarction, resulting from an imbalance between myocardial oxygen supply and demand. It can present as ST-elevation myocardial infarction, non-ST-elevation myocardial infarction, or unstable angina. The document lists desired short-term and long-term outcomes of preventing further cardiovascular events, complications, and improving quality of life. It also mentions several risk stratification tools and provides links to online calculators.
This document discusses ischaemic heart disease and acute coronary syndrome. It defines acute coronary syndrome as a spectrum ranging from acute myocardial ischemia to myocardial infarction, resulting from an imbalance between myocardial oxygen supply and demand. It can present as ST-elevation myocardial infarction, non-ST-elevation myocardial infarction, or unstable angina. The document lists desired short-term and long-term outcomes of preventing further cardiovascular events, complications, and improving quality of life. It also mentions several risk stratification tools and provides links to online calculators.
Desired Outcomes • Prevent acute coronary syndrome and death • Alleviate acute symptoms of myocardial ischemia • Prevent recurrent symptoms of myocardial ischemia • Prevent progression of the disease • Reduce complications of IHD • Avoid or minimize adverse treatment effects Acute Coronary Syndrome ACS Spectrum • From acute myocardial ischemia to MI resulting from an imbalance between myocardial ACS oxygen demand and supply STEM • results primarily from NSTE-ACS I diminished myocardial blood flow secondary to an occlusive NSTEMI or partially occlusive coronary Troponi UA artery thrombus n Risk Stratification • GRACE • http://www.outcomes-umassmed.org/GRACE/acs_risk/acs_risk_content.html • TIMI • https://www.mdcalc.com/timi-risk-score-ua-nstemi • ACS NSQIP • https://riskcalculator.facs.org/RiskCalculator/PatientInfo.jsp • ACC/AHA • http://www.cvriskcalculator.com/ Desired Outcomes • Short-term: • Long-term: • early restoration of blood flow to the • control of CV risk factors, infarct-related artery to prevent infarct expansion (in the case of MI) or • prevention of additional CV prevent complete occlusion and MI (in events, including reinfarction, UA); stroke, and HF, and • prevention of death and other MI • improvement in quality of life complications; • prevention of coronary artery reocclusion; • relief of ischemic chest discomfort; and • resolution of ST segment and T-wave changes on the ECG Terima kasih