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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...
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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,...
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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...
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Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
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Published on: January 18, 2018

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The second paradigm shift occurred on acute stroke therapy.

Teruyuki Hirano1

  • 1Departement of Stroke and Cerebrovascular Medicine, Kyorin University.

Rinsho Shinkeigaku = Clinical Neurology
|April 29, 2017
PubMed
Summary

Effective reperfusion therapy significantly improves outcomes for acute stroke patients with large vessel occlusion. Recent advances in endovascular therapy and anticoagulants offer new treatment options for acute ischemic stroke.

Keywords:
acute ischemic strokeacute therapydirect oral anticoagulant (DOAC)dual antiplatelet therapy (DAPT)thrombectomy

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Area of Science:

  • Neurology
  • Vascular Medicine
  • Interventional Cardiology

Background:

  • Acute ischemic stroke outcomes are significantly improved by rapid reperfusion of occluded cerebral vessels.
  • Endovascular therapy has demonstrated efficacy since 2015, becoming a common treatment strategy.
  • Direct oral anticoagulants (DOACs) have expanded therapeutic options for acute ischemic stroke.

Purpose of the Study:

  • To review recent advancements in the treatment of acute ischemic stroke.
  • To highlight the impact of reperfusion therapies and novel antithrombotic agents.

Main Methods:

  • Literature review of recent studies on acute ischemic stroke treatment.
  • Analysis of data on endovascular therapy efficacy and safety.
  • Evaluation of the role of direct oral anticoagulants in stroke management.

Main Results:

  • Effective and rapid reperfusion is critical for improving patient outcomes in large vessel occlusion stroke.
  • Endovascular therapy has emerged as a highly effective treatment modality.
  • DOACs provide additional antithrombotic options for acute ischemic stroke patients.

Conclusions:

  • Recent therapeutic advances have significantly improved the management of acute ischemic stroke.
  • The combination of reperfusion strategies and optimized antithrombotic therapy is key to better patient outcomes.