By Mun K. Hong, Eyal Herzog
Edited via major cardiologists from St. Luke’s-Roosevelt clinic heart in long island, this ebook deals functional algorithms for acquiring fast, actual diagnoses and delivering optimum remedy for sufferers with acute coronary syndrome (ACS). You’ll become aware of the professionals and cons and the entire concerns that cross into opting for the simplest interventional and non-invasive options for treating various ACS stipulations.
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Additional info for Acute Coronary Syndrome: Multidisciplinary and Pathway-Based Approach
Proc Natl Acad Sci USA 1995;92:3893– 3897. 62. Hansson GK, Jonasson L, Seifert PS, et al. Immune mechanisms in atherosclerosis. Arteriosclerosis 1989;9:567–578. 63. Biasucci LM, Liuzzo G, Fantozzi G, et al. Increasing levels of interleukin (IL)-1Ra and IL-6 during the ﬁrst 2 days of hospitalization in unstable angina are associated with increased risk of in-hospital coronary events. Circulation 1999;99:2079–2084. 36 H. Eftekhari et al. 64. Farb A, Burke AP, Tang AL, et al. Coronary plaque erosion without rupture into a lipid core.
3). Retrospective autopsy series and a few cross-sectional clinical studies revealed that thrombotic coronary death and acute coronary syndromes are caused by the ruptured plaque in 70% (stenotic, 20%; nonstenotic, 50%), and nonruptured plaques in 30% (erosion, calciﬁed nodule, intraplaque hemorrhage, and unknown) [33–35]. The ruptured plaque represents the main stimulus to both thrombosis and coagulation in several ways, including activation of platelets and coagulation cascade subsequent to contact with collagen in the plaque’s extracellular matrix, and tissue factor .
In addition, we propose the development of algorithms for the appropriate triage of patients based on severity and diagnosis. We also discuss testing in the ED and prognostic information provided by it and its signiﬁcance in the subsequent management of the patient. Chest pain represents one of three most common presenting symptoms by patients in the ED (along with abdominal complaints and fever). 4 million of these patients are admitted for management of unstable angina/ non–ST-elevation myocardial infarction (UA/NSTEMI) [1, 2].
Acute Coronary Syndrome: Multidisciplinary and Pathway-Based Approach by Mun K. Hong, Eyal Herzog