Management of acute coronary syndrome

被引:0
作者
Buske, Maria [1 ]
Feistritzer, Hans-Josef [1 ]
Jobs, Alexander [1 ]
Thiele, Holger [1 ]
机构
[1] Univ Klin Kardiol, Herzzentrum Leipzig, Strumpellstr 39, D-04289 Leipzig, Germany
关键词
Angina pectoris; Coronary artery disease; Revascularization; Antithrombotic therapy; Secondary prevention; ACUTE MYOCARDIAL-INFARCTION; EUROPEAN-SOCIETY; POSITION PAPER; CLOPIDOGREL; CARDIOLOGY; INTERVENTION; ASSOCIATION; MULTICENTER; TICAGRELOR; RISK;
D O I
10.1007/s00059-024-05284-9
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Coronary artery disease (CAD) is the leading cause of death worldwide. Acute coronary syndrome (ACS) encompasses a spectrum of diagnoses ranging from unstable angina pectoris to myocardial infarction with and without ST-segment elevation and frequently presents as the first clinical manifestation. It is crucial in this scenario to perform a timely and comprehensive assessment of patients by evaluating the clinical presentation, electrocardiogram and laboratory diagnostics using highly sensitivity cardiac troponin in order to initiate a timely and risk-adapted continuing treatment with immediate or early invasive coronary angiography. In addition to revascularization, the subsequent antithrombotic and lipid-lowering treatment plays a major role in the further secondary prevention of CAD. The choice and duration of medication over time should be tailored to the individual risk profile of the patient. Furthermore, appropriate patient education regarding risk factor management is of paramount importance.
引用
收藏
页码:66 / 76
页数:11
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