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Related Concept Videos

Acute Coronary Syndrome I: Introduction01:30

Acute Coronary Syndrome I: Introduction

Acute Coronary Syndrome (ACS) encompasses a spectrum of heart conditions caused by sudden obstruction of coronary arteries, typically resulting from the rupture of an atherosclerotic plaque and subsequent thrombus (blood clot) formation. This obstruction can lead to partial or complete blockage of blood flow, causing varying degrees of myocardial ischemia or infarction.ACS includes the following clinical entities:Unstable Angina (UA)Non-ST-Elevation Myocardial Infarction (NSTEMI)ST-Elevation...
Acute Coronary Syndrome II: Pathophysiology and Clinical Manifestations01:19

Acute Coronary Syndrome II: Pathophysiology and Clinical Manifestations

The pathophysiology of Acute Coronary Syndrome [ACD] involves several key processes:The main underlying cause of ACD is atherosclerosis, a chronic inflammatory disease characterized by the buildup of lipid-laden plaques within the coronary arteries.As the atherosclerotic plaque grows in the coronary artery, it may become unstable due to the formation of a lipid-rich core and a thin fibrous cap. Inflammatory cells within the plaque, such as macrophages, secrete enzymes that degrade the...
Acute Coronary Syndrome III: Diagnostic Studies01:30

Acute Coronary Syndrome III: Diagnostic Studies

Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...
Acute Coronary Syndrome V: Nursing Management01:26

Acute Coronary Syndrome V: Nursing Management

Nursing Assessment:Nursing management of acute coronary syndrome (ACS) involves taking the patient's history, focusing on primary complaints such as chest pain, dyspnea, and excessive sweating (diaphoresis), as well as other symptoms like back or jaw pain, nausea, vomiting, palpitations, dizziness, and fatigue. The nurse also reviews the patient's history of cardiac events, risk factors such as hypertension, diabetes, smoking, family history, and current medications.In the objective assessment,...
Acute Coronary Syndrome IV: Interprofessional Care01:28

Acute Coronary Syndrome IV: Interprofessional Care

IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
Coronary Artery Disease III: Clinical Manifestations01:30

Coronary Artery Disease III: Clinical Manifestations

Coronary Artery Disease (CAD) is a primary health risk worldwide, leading to significant morbidity and mortality. The condition arises from the buildup of atherosclerotic plaques within the coronary arteries, resulting in diminished blood supply to the heart muscle.The clinical manifestations of CAD vary widely, from asymptomatic stages to severe, life-threatening conditions. Understanding these manifestations is crucial for early diagnosis and effective management.Angina Pectoris: The Warning...

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A Research Method For Detecting Transient Myocardial Ischemia In Patients With Suspected Acute Coronary Syndrome Using Continuous ST-segment Analysis
18:11

A Research Method For Detecting Transient Myocardial Ischemia In Patients With Suspected Acute Coronary Syndrome Using Continuous ST-segment Analysis

Published on: December 28, 2012

Acute coronary syndrome.

Nader Makki1, Theresa M Brennan2, Saket Girotra3

  • 1Department of Internal Medicine, University of Iowa Hospitals and Clinics, Iowa City, IA, USA.

Journal of Intensive Care Medicine
|September 20, 2013
PubMed
Summary
This summary is machine-generated.

Acute coronary syndrome (ACS) causes over 1 million US hospitalizations yearly, posing a significant health and economic burden. This review summarizes ACS pathophysiology, diagnosis, and treatment, including intensive care management of complications.

Keywords:
acute coronary syndromemanagementmyocardial infarctionunstable angina

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Area of Science:

  • Cardiology
  • Internal Medicine
  • Critical Care Medicine

Background:

  • Acute coronary syndrome (ACS) represents a substantial healthcare and economic challenge in the US.
  • ACS leads to over 1 million hospitalizations annually.
  • Nearly 50% of coronary heart disease deaths are linked to ACS events.

Purpose of the Study:

  • To provide an updated review of acute coronary syndrome.
  • To summarize the pathophysiology, diagnosis, and treatment of ACS.
  • To offer guidance on managing common complications and hemodynamic disturbances in intensive care settings.

Main Methods:

  • Literature review of current research on ACS.
  • Synthesis of information on ACS pathophysiology.
  • Compilation of diagnostic and therapeutic strategies for ACS.

Main Results:

  • ACS is a critical condition with significant morbidity and mortality.
  • Comprehensive understanding of ACS pathophysiology is essential for effective management.
  • Timely diagnosis and appropriate treatment, including intensive care, improve patient outcomes.

Conclusions:

  • This review offers a consolidated overview of ACS.
  • It emphasizes the importance of up-to-date knowledge for clinicians managing ACS.
  • Effective management strategies are crucial to reduce the substantial burden of ACS.