Management of Acute Coronary Syndrome

被引:50
作者
Atwood, Joel [1 ]
机构
[1] Dept Emergency Med, 1300 South George St, York, PA 17402 USA
关键词
Acute coronary syndrome; Myocardial infarction; ST segment elevation myocardial infarction; Non-ST segment elevation myocardial infarction; Unstable angina; ELEVATION MYOCARDIAL-INFARCTION; THROMBOLYTIC THERAPY; ANGIOPLASTY; REPERFUSION; CARE; INTERVENTION; FIBRINOLYSIS;
D O I
10.1016/j.emc.2022.06.008
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Patients are diagnosed with ACS routinely on every shift. The range or presentation includes the subtle symptoms in the well-appearing patients to the overtly critically ill in the patient with ischemia-induced shock. Cornerstones of management include aggressive supportive care, early optimization of myocardial mismatch, prevention of thrombus propagation, and improving early perfusion with PCI or fibrinolytic agents in select patients.
引用
收藏
页码:693 / 706
页数:14
相关论文
共 40 条
[1]   Coronary Angiography after Cardiac Arrest - The Right Timing or the Right Patients? [J].
Abella, Benjamin S. ;
Gaieski, David F. .
NEW ENGLAND JOURNAL OF MEDICINE, 2019, 380 (15) :1474-1475
[2]  
Al-Khatib SM, 2018, CIRCULATION, V138, pE210, DOI [10.1161/CIR.0000000000000548, 10.1161/CIR.0000000000000549]
[3]   Acute coronary care in the elderly, Part I Non-ST-segment-elevation acute coronary syndromes - A scientific statement for healthcare professionals from the American Heart Association council on clinical cardiology - In collaboration with the society of geriatric cardiology [J].
Alexander, Karen P. ;
Newby, Kristin ;
Cannon, Christopher P. ;
Armstrong, Paul W. ;
Gibler, W. Brian ;
Rich, Michael W. ;
Van de Werf, Frans ;
White, Harvey D. ;
Weaver, W. Douglas ;
Naylor, Mary D. ;
Gore, Joel M. ;
Krumholz, Harlan M. ;
Ohman, E. Magnus .
CIRCULATION, 2007, 115 (19) :2549-2569
[4]  
[Anonymous], 1988, LANCET, V2, P349
[5]   Intracranial hemorrhage associated with thrombolytic therapy for elderly patients with acute myocardial infarction - Results from the cooperative cardiovascular project [J].
Brass, LM ;
Lichtman, JH ;
Wang, Y ;
Gurwitz, JH ;
Radford, MJ ;
Krumholz, HM .
STROKE, 2000, 31 (08) :1802-1811
[6]   Routine Early Angioplasty after Fibrinolysis for Acute Myocardial Infarction [J].
Cantor, Warren J. ;
Fitchett, David ;
Borgundvaag, Bjug ;
Ducas, John ;
Heffernan, Michael ;
Cohen, Eric A. ;
Morrison, Laurie J. ;
Langer, Anatoly ;
Dzavik, Vladimir ;
Mehta, Shamir R. ;
Lazzam, Charles ;
Schwartz, Brian ;
Casanova, Amparo ;
Goodman, Shaun G. .
NEW ENGLAND JOURNAL OF MEDICINE, 2009, 360 (26) :2705-2718
[7]  
Chen ZM, 2005, LANCET, V366, P1622
[8]  
Collet Carlos, 2017, Evid Based Med, V22, P227, DOI 10.1136/ebmed-2017-110848
[9]  
Collet JP, 2021, REV ESP CARDIOL, V74, DOI [10.1016/j.rec.2021.05.002, 10.1093/eurheartj/ehaa575]
[10]   Comparison of Dopamine and Norepinephrine in the Treatment of Shock. [J].
De Backer, Daniel ;
Biston, Patrick ;
Devriendt, Jacques ;
Madl, Christian ;
Chochrad, Didier ;
Aldecoa, Cesar ;
Brasseur, Alexandre ;
Defrance, Pierre ;
Gottignies, Philippe ;
Vincent, Jean-Louis .
NEW ENGLAND JOURNAL OF MEDICINE, 2010, 362 (09) :779-789