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Related Concept Videos

Acute Coronary Syndrome I: Introduction01:30

Acute Coronary Syndrome I: Introduction

657
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...
657
Acute Coronary Syndrome II: Pathophysiology and Clinical Manifestations01:19

Acute Coronary Syndrome II: Pathophysiology and Clinical Manifestations

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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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Acute Coronary Syndrome IV: Interprofessional Care01:28

Acute Coronary Syndrome IV: Interprofessional Care

185
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...
185
Acute Coronary Syndrome III: Diagnostic Studies01:30

Acute Coronary Syndrome III: Diagnostic Studies

173
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...
173
Acute Coronary Syndrome V: Nursing Management01:26

Acute Coronary Syndrome V: Nursing Management

225
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,...
225
Ischemic Heart Disease: Overview01:17

Ischemic Heart Disease: Overview

2.7K
Ischemic heart disease occurs when the heart's blood supply dwindles, causing an ominous lack of oxygen and nutrients. This deficiency, stemming from reduced or obstructed blood flow, spells danger, leading to heart muscle damage and dysfunction.
Atherosclerosis, the primary malefactor, orchestrates this dangerous condition. It manifests as the accumulation of fatty deposits, akin to insidious plaques, within arterial walls. As time elapses, these plaques metamorphose, hardening and...
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A Research Method For Detecting Transient Myocardial Ischemia In Patients With Suspected Acute Coronary Syndrome Using Continuous ST-segment Analysis
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Stroke Complicating Acute ST Elevation Myocardial Infarction-Current Concepts.

Monika Bhandari1, Pravesh Vishwakarma1, Rishi Sethi1

  • 1Department of Cardiology, King George's Medical University, Lucknow, India.

The International Journal of Angiology : Official Publication of the International College of Angiology, Inc
|December 3, 2019
PubMed
Summary

Mortality from myocardial infarction (MI) has decreased, but stroke following acute ST-elevation MI remains a significant concern. This review covers stroke incidence, risk factors, and management after acute MI.

Keywords:
CT scanischemic strokereperfusion therapythrombolysis

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Area of Science:

  • Cardiology
  • Neurology
  • Public Health

Background:

  • Myocardial infarction (MI) is a leading global cause of mortality.
  • Advances in treatment have improved MI survival rates.
  • Stroke following acute MI contributes significantly to ongoing mortality.

Purpose of the Study:

  • To discuss the incidence of stroke after acute ST-elevation MI.
  • To identify key risk factors for post-MI stroke.
  • To outline current management strategies for stroke in acute MI patients.

Main Methods:

  • Literature review and synthesis of existing data.
  • Analysis of epidemiological studies on MI and stroke.
  • Review of clinical guidelines and therapeutic interventions.

Main Results:

  • While overall MI mortality is declining, stroke remains a persistent complication.
  • Specific risk factors contribute to increased stroke risk post-MI.
  • Effective management strategies can mitigate stroke risk and impact.

Conclusions:

  • Stroke following acute ST-elevation MI represents a critical unmet clinical challenge.
  • Understanding incidence and risk factors is crucial for prevention.
  • Optimized management protocols are essential to reduce morbidity and mortality.