Acute coronary syndrome (main): Difference between revisions
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#[[Unstable Angina]] (38%) | #[[Unstable Angina]] (38%) | ||
==DDx== | == DDx == | ||
*[[Chest Pain (DDx)]] | |||
*[[Troponin (DDx)]] | *[[Chest Pain (DDx)]] | ||
*[[Cocaine Chest Pain]] | *[[Troponin (DDx)]] | ||
*[[Abdominal Pain#Epigastric]] | *[[Cocaine Chest Pain]] | ||
*[[Abdominal Pain#Epigastric|Abdominal Pain]] | |||
== Diagnosis == | == Diagnosis == | ||
Revision as of 20:33, 2 March 2012
Background
ACS is three diseases involving the coronary arteries:
- ST-Elevation Myocardial Infarction (STEMI) (30%)
- Non ST-Elevation Myocardial Infarction (NSTEMI) (25%)
- Unstable Angina (38%)
DDx
Diagnosis
- ECG (Diagnosis)
- ECG is normal in 8% of all confirmed MI's
- In LBBB see Sgarbossa's Criteria
- Cardiac Enzymes
- ACS - Risk Stratification
- ACS - Anatomical Correlation
Treatment
Intensity of Rx should be based on likelihood that sx are due to acute coronary thombosis
- ST-Elevation Myocardial Infarction (STEMI)
- Non ST-Elevation Myocardial Infarction (NSTEMI)
- Unstable Angina
Disposition
- Admit for all ACS