Acute coronary syndrome (main): Difference between revisions
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*ECG is normal in 8% of all confirmed MI's
*ECG is normal in 8% of all confirmed MI's


==Diagnosis==
== Diagnosis ==
[[ECG (Diagnosis)]]
 
[[ECG (Diagnosis)]]  


[[ACS - Risk Stratification]]
[[ACS - Risk Stratification]]
===TIMI Risk Stratification Score===
#1 point for each
##Age ≥65 years
##Presence of at least three risk factors for CHD
##Prior coronary stenosis of ≥50 percent
##Presence of ST segment deviation on admission ECG
##At least two anginal episodes in prior 24 hours
##Elevated serum cardiac biomarkers
##Use of aspirin in prior seven days
#Likelihood of mortality, new or recurrent MI, or require  revascularization at 14 days
##Score of 0/1 - 4.7 percent
##Score of 2 - 8.3 percent
##Score of 3 - 13.2 percent
##Score of 4 - 19.9 percent
##Score of 5 - 26.2 percent
##Score of 6/7 - 40.9 percent


==Treatment==
==Treatment==

Revision as of 08:32, 17 July 2011

Background

ACS is three diseases involving the coronary arteries:

  1. ST-Elevation Myocardial Infarction (STEMI) (30%)
  2. Non ST-Elevation Myocardial Infarction (NSTEMI) (25%)
  3. Unstable Angina (38%)
  • ECG is normal in 8% of all confirmed MI's

Diagnosis

ECG (Diagnosis)

ACS - Risk Stratification

Treatment

Intensity of Rx should be based on likelihood that sx are due to acute coronary thombosis

See Also

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