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Related Concept Videos

Acute Coronary Syndrome I: Introduction01:30

Acute Coronary Syndrome I: Introduction

134
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...
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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 III: Diagnostic Studies01:30

Acute Coronary Syndrome III: Diagnostic Studies

46
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...
46
Angina II: Classification01:27

Angina II: Classification

61
Angina, also known as angina pectoris, is a chest pain resulting from diminished blood flow to the heart muscle and is often a symptom of coronary artery disease. Angina presents several variants with distinctive attributes, etiologies, and therapeutic approaches. The main types of angina include stable, unstable, variant (Prinzmetal's), microvascular, intractable, and silent ischemia.Stable angina is caused by atherosclerosis, which leads to the formation of plaques that narrow the coronary...
61
Ischemic Heart Disease: Overview01:17

Ischemic Heart Disease: Overview

2.0K
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...
2.0K
Angina III: Clinical Manifestations and Assessment01:29

Angina III: Clinical Manifestations and Assessment

54
Angina manifests as chest pain, tightness, or squeezing discomfort typically located behind the breastbone. It can radiate to the neck, jaw, shoulders, and inner aspects of the upper arms, most commonly the left arm. Patients may experience shortness of breath, fatigue, profuse sweating, dizziness, indigestion, heartburn, palpitations, anxiety, and vomiting as accompanying symptoms. This pain often lasts a few minutes and is triggered by physical exertion, emotional stress, heavy meals, or cold...
54

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Related Experiment Video

Updated: Oct 19, 2025

A Research Method For Detecting Transient Myocardial Ischemia In Patients With Suspected Acute Coronary Syndrome Using Continuous ST-segment Analysis
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Non-ST segment elevation myocardial infarction in the elderly.

César Jiménez-Méndez1, Pablo Díez-Villanueva1, Fernando Alfonso1

  • 1Cardiology Department, Hospital Universitario La Princesa, Universidad Autónoma de Madrid, 28006 Madrid, IIS-IP, CIBER-CV, Spain.

Reviews in Cardiovascular Medicine
|September 26, 2021
PubMed
Summary
This summary is machine-generated.

Acute coronary syndromes (ACS), particularly non-ST segment elevation myocardial infarction (NSTEMI), are increasing in older adults. This review covers NSTEMI

Keywords:
Acute coronary syndromeElderlyNon-ST segment elevation myocardial infarction

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Area of Science:

  • Cardiology
  • Geriatric Medicine
  • Public Health

Background:

  • Ischemic heart disease is a leading cause of mortality in Western nations.
  • Acute coronary syndromes (ACS), especially non-ST segment elevation myocardial infarction (NSTEMI), show a rising incidence.
  • Advanced age is a significant risk factor for ACS and predicts worse outcomes.

Purpose of the Study:

  • To review the clinical presentation of NSTEMI in the elderly.
  • To examine the identification strategies for NSTEMI in older populations.
  • To discuss the management complexities of NSTEMI in geriatric patients, considering comorbidities.

Main Methods:

  • Literature review of clinical presentations.
  • Analysis of diagnostic approaches for NSTEMI in the elderly.
  • Synthesis of current management guidelines and considerations for geriatric patients.

Main Results:

  • NSTEMI presentation in the elderly can be atypical.
  • Early identification and risk stratification are crucial.
  • Management requires a tailored approach addressing age-related factors and comorbidities.

Conclusions:

  • NSTEMI in the elderly presents unique challenges.
  • Comprehensive assessment including comorbidities is vital for effective management.
  • Optimizing NSTEMI care in older adults is essential to improve clinical outcomes.