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Tintinalli's Emergency Medicine: A Comprehensive Study Guide, 7e
| Section 7. Cardiovascular Disease > |
Chapter 53. Acute Coronary Syndromes: Acute Myocardial Infarction and Unstable Angina
Sections: Epidemiology, Clinically Relevant Pathophysiology, Pathophysiology, Clinical Features, Treatment, General Measures, Reperfusion in Non-ST-Segment Elevation Myocardial Infarction, Antiplatelet Agents, Antithrombins, Limiting Infarct Size, Complications of Acute Coronary Syndrome, Recurrent or Refractory Ischemia, Practice Guidelines, Special Populations, Special Considerations, References.
Topics Discussed: acute coronary syndromes.
Excerpt:"Ischemic heart disease is the leading cause of death among adults
in the U.S., accounting for more than 500,000 deaths annually. Atherosclerotic disease
of the epicardial coronary arteries—termed coronary
artery disease, or CAD—accounts for the vast majority
of patients with ischemic heart disease. The predominant symptom
of CAD is chest pain, and concern over potential CAD and myocardial
ischemia contributes to the >8 million visits each year to U.S.
EDs. In a typical adult ED population with acute chest pain, about
15% of patients will have an acute coronary syndrome (ACS). An consists of unstable angina and acute myocardial
infarction (AMI). Of patients with an ACS, approximately
one third have an AMI, and the remainder have unstable angina...."
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