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Author: R R Kasliwal
Publisher: Elsevier Health Sciences
ISBN: 8131231771
Category : Medical
Languages : en
Pages : 176
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Book Description
Acute coronary syndrome (ACS) is the term for the clinical signs and symptoms of myocardial ischemia: unstable angina, non–ST-segment elevation myocardial infarction (NSTEMI), and ST-segment elevation myocardial infarction (STEMI). Unstable angina and NSTEMI normally result from a partially or intermittently occluded coronary artery, whereas STEMI results from a fully occluded coronary artery. The patients present with a wide arena of signs and symptoms like chest pain, nausea/vomiting, exertional pain, palpitation, shortness of breath, fatigue, etc. Angina, or chest pain, continues to be recognized as the classic symptom of ACS. In unstable angina, chest pain normally occurs either at rest or with exertion and results in limited activity. Chest pain associated with NSTEMI is usually longer in duration and more severe than chest pain associated with unstable angina. The diagnosis of ACS is based on triad of clinical presentation, electrocardiography and cardiac biomarkers. Electrocardiography is the most important initial diagnostic procedure when doctors suspect an acute coronary syndrome. Findings on a 12-lead ECG help the practitioner to differentiate between myocardial ischemia, injury, and infarction, locate the affected area and assess related conduction abnormalities. But at the same front, the definition of unstable angina, NSTEMI and STEMI is based on the levels of cardiac biomarkers too. Acute coronary syndromes are medical emergencies that need prompt action. Half of deaths due to a heart attack occur in the first 3–4 hours after symptoms begin. The sooner treatment begins, the better the chances of survival. Anyone having symptoms that might indicate an acute coronary syndrome should obtain prompt medical attention. Management of ACS involves a spectrum of interventions. It encompasses cardiac monitoring, thrombolysis, antiplatelet therapy, anticoagulant therapy, reperfusion therapy and invasive investigation and revascularization therapy. Reperfusion therapy (percutaneous coronary intervention) mainly holds for the ST-elevation myocardial infarction. Prognosis of the ACS patients depends on the post-myocardial risk stratification. The main highlights of risk stratification are risk stratification scores, assessment of cardiac function and stress testing, and management.
Author: R R Kasliwal
Publisher: Elsevier Health Sciences
ISBN: 8131231771
Category : Medical
Languages : en
Pages : 176
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Book Description
Acute coronary syndrome (ACS) is the term for the clinical signs and symptoms of myocardial ischemia: unstable angina, non–ST-segment elevation myocardial infarction (NSTEMI), and ST-segment elevation myocardial infarction (STEMI). Unstable angina and NSTEMI normally result from a partially or intermittently occluded coronary artery, whereas STEMI results from a fully occluded coronary artery. The patients present with a wide arena of signs and symptoms like chest pain, nausea/vomiting, exertional pain, palpitation, shortness of breath, fatigue, etc. Angina, or chest pain, continues to be recognized as the classic symptom of ACS. In unstable angina, chest pain normally occurs either at rest or with exertion and results in limited activity. Chest pain associated with NSTEMI is usually longer in duration and more severe than chest pain associated with unstable angina. The diagnosis of ACS is based on triad of clinical presentation, electrocardiography and cardiac biomarkers. Electrocardiography is the most important initial diagnostic procedure when doctors suspect an acute coronary syndrome. Findings on a 12-lead ECG help the practitioner to differentiate between myocardial ischemia, injury, and infarction, locate the affected area and assess related conduction abnormalities. But at the same front, the definition of unstable angina, NSTEMI and STEMI is based on the levels of cardiac biomarkers too. Acute coronary syndromes are medical emergencies that need prompt action. Half of deaths due to a heart attack occur in the first 3–4 hours after symptoms begin. The sooner treatment begins, the better the chances of survival. Anyone having symptoms that might indicate an acute coronary syndrome should obtain prompt medical attention. Management of ACS involves a spectrum of interventions. It encompasses cardiac monitoring, thrombolysis, antiplatelet therapy, anticoagulant therapy, reperfusion therapy and invasive investigation and revascularization therapy. Reperfusion therapy (percutaneous coronary intervention) mainly holds for the ST-elevation myocardial infarction. Prognosis of the ACS patients depends on the post-myocardial risk stratification. The main highlights of risk stratification are risk stratification scores, assessment of cardiac function and stress testing, and management.
Author: Paul A. Gurbel
Publisher: Karger Medical and Scientific Publishers
ISBN: 1908541474
Category : Medical
Languages : en
Pages : 130
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Book Description
All patients arriving at hospital with chest pain suggestive of myocardial ischemia require an immediate 12-lead ECG and medical assessment. Management will depend on the type of acute coronary syndrome (ACS) diagnosed. 'Fast Facts: Acute Coronary Syndromes' is an international evidence-based primer that focuses on optimizing patient outcomes via accurate initial diagnosis, appropriate risk stratification and proper therapeutic decision-making in line with both American and European management guidelines. This refreshingly readable handbook simplifies the complexities involved in the care of patients with ACS by: • Familiarizing readers with the common pathophysiology underlying all ACS • Detailing the specifics of clinical assessment (targeted history, symptom-oriented physical exam, electrocardiography, cardiac biomarkers and imaging) • Assisting best practice in ischemic risk stratification and assessment of bleeding risk • Outlining coronary revascularization techniques, reperfusion strategies and preventive measures • Providing an update on potent antithrombotic therapy (antiplatelet agents and anticoagulants) • Clearly explaining the latest developments that are likely to be implemented in the near future. In this fast-changing field it is difficult for healthcare professionals to remain current and virtually impossible to fully understand all of the subtle nuances of the available clinical trial data. This comprehensive handbook is therefore the essential resource for all healthcare professionals looking for up-to-date, easy-to read information that will assist best practice in the identification and management of all patients with ACS. Contents: • Pathophysiology • Diagnosis • Risk stratification and decision-making • Coronary revascularization • Unstable angina/non-ST-segment elevation myocardial infarction • ST-segment elevation myocardial infarction • Secondary prevention of coronary artery disease • Developments • Useful resources
Author: Anthony A. Bavry
Publisher: Springer Science & Business Media
ISBN: 190851714X
Category : Science
Languages : en
Pages : 92
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Book Description
Review of the necessary knowledge to provide optimal evidence-based care for the acute coronary syndrome patient - Comprehensive guide to acute coronary syndrome - Expert commentary from two key thought leaders in the field - Extensive illustrations, tables, figures, and appendix to further guide the reader
Author: K Sarat Chandra
Publisher: CRC Press
ISBN: 042965555X
Category : Medical
Languages : en
Pages : 429
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Book Description
Acute Coronary Syndrome (ACS) is a growing global menace with patients increasing in developing countries where tobacco and food play a major role. Its treatment guidelines and research results have proliferated in academia, but practical applications lag behind that research. This book addresses this void. Guidelines for treatment of ACS present in-depth reading for practicing cardiologists, thus preventing clinical application. The book aims to appraise readers of real-world situations and suggestions to help them acquire up-to-date knowledge on ACS and its effective diagnosis, prognosis and management. Key Features Covers recent advances in ACS management and pharmacotherapy Discusses the guidelines for treatment of ACS for the professional cardiologist to apply to clinical practice Explores the topics with the help of case scenarios Follows a concise, yet comprehensive approach Features a chapter on 'When to Transfer,' which discusses how to spot unstable patients or those heading towards shock
Author: Eli Gelfand
Publisher: John Wiley & Sons
ISBN: 9780470745458
Category : Medical
Languages : en
Pages : 238
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Book Description
Acute Coronary Syndrome covers the spectrum of clinical conditions ranging from unstable angina to non-ST elevation myocardial infarction and ST elevation myocardial infarction. These life-threatening disorders are a major cause of emergency medical care, hospitalization and mortality. Management of Acute Coronary Syndromes is designed to provide busy clinicians with a comprehensive guide to the investigation, diagnosis and treatment of these syndromes. It encompasses the latest technologies, including the use of biomarkers and non-invasive imaging procedures. For each condition, the reader is taken through all of the therapeutic options available; in each case the indications and contraindications are evaluated in the light of the latest clinical trials. Potential complications are dealt with in a similar fashion, permitting the reader to anticipate and manage problems as they arise. The authors also present evidence-based recommendations for long-term care of at-risk patients, encompassing pharmacologic therapies and lifestyle management. The book concludes with a comprehensive collection of appendices that include treatment algorithms, risk scores and a summary of the latest management guidelines. Management of Acute Coronary Syndromes is the most up to date and comprehensive evidence-based guide to managing acute coronary syndromes, in a compact and usable format. It will be of interest to busy specialist physicians in cardiovascular medicine, cardiac and vascular surgery, and critical care, as well as primary care physicians and hospitalists who care for patients with these syndromes.
Author:
Publisher: Cardiotext Publishing
ISBN: 1935395386
Category : Medical
Languages : en
Pages : 154
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Book Description
Acute Coronary Syndrome: Urgent and Follow-up Care is a must-read for all those involved in the care of ACS, including EMS, nurses, advanced practice providers as well as physicians. This book not only reviews the causes of ACS, but also provides evidence-based acute and follow-up treatment recommendations that incorporate the perspectives of all those involved in the care of these patients. Epidemiology, pathophysiology, and outcomes of acute coronary syndromesThe role of EMS in the triage of the ACS patientEvaluation and treatment of the ACS patient in the emergency departmentPharmacologic management of the ACS patientFollow-up care of the ACS patientThe role of the team in carrying out successful guideline-driven care
Author: Pierre Theroux
Publisher: Elsevier Health Sciences
ISBN: 1437721494
Category : Medical
Languages : en
Pages : 449
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Book Description
Acute Coronary Syndromes—a Companion to Braunwald’s Heart Disease—covers the state-of-the-art scientific and clinical information you need to rapidly evaluate and manage acute coronary syndromes. Dr. Pierre Theroux and his team of expert contributors present advances in diagnostic and imaging techniques such as biomarkers, nuclear cardiology, echocardiography, and multislice CT; secondary prevention; and new antiplatelet, anti-ischemic, and gene therapies. Tap into the most definitive knowledge available from one of the leading experts in the field and a stellar cast of contributors. Understand the special considerations for the care of acute coronary syndromes in the emergency department and the coronary care unit. Effectively handle the treatment of special populations and chronic patients thanks to coverage of these challenges See techniques and procedures in greater detail and clarity through the all-new full-color design. Approach treatment with a global perspective from the new section on Population-Based Perspective that discusses the INTERHEART study, insights from the REACH registry, lessons learned from European registries, and ACS in North America. Gain a comprehensive understanding of ACS through coverage of pathophysiology, molecular mechanisms, the role of the immune system, and brand-new chapters on cell necrosis and cell regeneration and pharmacogenetics in the section on Disease-Based Perspectives. Integrate the latest testing and treatment techniques into your practice thanks to new chapters on biomarkers in acute ischemic heart disease; the role of noninvasive testing in prognostic risk stratification; the culprit lesions and patient at risk; non-responsiveness to antiplatelet therapy; bleeding in the acute coronary syndromes; and the refractory patient.
Author: Deepak L. Bhatt
Publisher: Remedica
ISBN: 190134665X
Category : Acute diseases
Languages : en
Pages : 507
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Book Description
Acute coronary syndromes are one of the leading causes of morbidity and mortality in the world. This work assembles a group of international experts to deliver a concise handbook on the pathophysiology, epidemiology, and treatment of ACS.
Author: Eric Topol
Publisher: CRC Press
ISBN: 9780824757953
Category : Medical
Languages : en
Pages : 784
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Book Description
With detailed contributions from 45 renowned international authorities, this Third Edition stands alone as the most comprehensive, contemporary view of the biology, physiology, and management of acute coronary syndromes (ACS)-offering 32 chapters that span the state-of-the science in the field and provide intriguing discussions on CRP and other disease markers, microcirculation, stem cell therapy, and the development of specialized centers for ACS treatment.
Author: Roque Pifarré
Publisher:
ISBN:
Category : Medical
Languages : en
Pages : 504
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Book Description
Acute coronary syndrome (ACS) is at present the most common clinical entity requiring admission of a patient to an inpatient cardiology service. In the past, evaluation and treatment options for patients with this syndrome were either empirical or based on observational reports of clinical outcomes. It is now generally agreed that to acquire meaningful clinical data, a randomized clinical trial is the best method of clinical research. Over the past few years an ever-increasing number of randomized clinical tests have resulted in a much deeper evidence-based understanding of the pathophysiology, presentation, risk assessment, and management of the acute coronary syndrome and its subsets, i.e., unstable angina, non-Q wave myocardial infarction, and ST elevation/Q-wave infarction. This book organizes the data gleaned from these trials to allow the reader to better understand the best use of individual forms of evaluation and treatment, and how these individual treatments can be best combined to result in optimal patient outcome.
