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  • Acute Coronary Syndrome

    Enviado por

    Rudy Lusmianda
    2 visualizações20 páginas
    This document discusses acute coronary syndrome and risk factors for cardiovascular disease. It defines myocardial infarction as myocardial cell death due to prolonged ischemia, noting that cell death occurs histologically after 20 minutes, and complete necrosis of cells occurs within 2-4 hours. It lists modifiable risk factors like smoking, dyslipidemia, raised LDL cholesterol, low HDL cholesterol, raised triglycerides, raised blood pressure, diabetes, obesity, and dietary/lifestyle factors. Non-modifiable risks include personal and family history of coronary artery disease, age, and gender. The document also describes how to assess chest pain characteristics and potential presentations of angina.

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    This document discusses acute coronary syndrome and risk factors for cardiovascular disease. It defines myocardial infarction as myocardial cell death due to prolonged ischemia, noting that cell death occurs histologically after 20 minutes, and complete necrosis of cells occurs within 2-4 hours. It lists modifiable risk factors like smoking, dyslipidemia, raised LDL cholesterol, low HDL cholesterol, raised triglycerides, raised blood pressure, diabetes, obesity, and dietary/lifestyle factors. Non-modifiable risks include personal and family history of coronary artery disease, age, and gender. The document also describes how to assess chest pain characteristics and potential presentations of angina.

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    © All Rights Reserved
    Baixe no formato PPTX, PDF, TXT ou leia online no Scribd
    Sinalizar o conteúdo como inadequado
    2 visualizações20 páginas

    Acute Coronary Syndrome

    Enviado por

    Rudy Lusmianda
    This document discusses acute coronary syndrome and risk factors for cardiovascular disease. It defines myocardial infarction as myocardial cell death due to prolonged ischemia, noting that cell death occurs histologically after 20 minutes, and complete necrosis of cells occurs within 2-4 hours. It lists modifiable risk factors like smoking, dyslipidemia, raised LDL cholesterol, low HDL cholesterol, raised triglycerides, raised blood pressure, diabetes, obesity, and dietary/lifestyle factors. Non-modifiable risks include personal and family history of coronary artery disease, age, and gender. The document also describes how to assess chest pain characteristics and potential presentations of angina.

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    © All Rights Reserved
    Baixe no formato PPTX, PDF, TXT ou leia online no Scribd
    Sinalizar o conteúdo como inadequado
    de 20

    ACUTE CORONARY

    SYNDROME

    Dr. Novita SpJP


    MI is definined as myocardial
    cell death due to prolonged
    ischemia
    20 mnt : cell death
    histologically
    Several hours : myocardial
    necrosis
    2 4 hours: complete
    necrosis of myocardial cells
    Risk Factors for
    MODIFIABLE NON-MODIFIABLE
    Cardiovascular PERSONAL
    SMOKING Disease HISTORY OF CAD
    DISLIPIDEMIA FAMILY HISTORY OF CAD
    RAISED LDL AGE
    CHOLESTEROL GENDER
    LOW HDL CHOLESTEROL
    RAISED TRIGLYCERIDE
    RAISED BLOOD PRESSURE
    DIABETES MELLITUS
    OBESITY
    DIETARY FACTORS
    THROMBOGENIC FACTORS
    LACK OF EXERCISE
    EXCESS ALCOHOL
    CONSUMPTION
    Assessing Chest Pain
    (Classic Angina)
    LOCATION
    RADIATION
    CHARACTER
    TIME OF ONSET, DURATION,
    FREQUENCY
    EXACERBATING AND
    ALLEVIATING FACTORS
    ASSOCIATED SYMPTOMS
    Possible presentation of
    Angina
    Angina at rest, with pain
    episodes lasting > 20 min
    New onset ( within 2
    months )exertional angina of
    at least CCSC II
    Recent increase (< 2
    months ) in anginal severity
    to at least CCSC III
    Angina post MCI
    Angina Pectoris
    Stable : there is no
    substantial deterioration in
    symptom over several weeks.
    Stability or quiescence of an
    atherosclerotic plaque,
    depending on increased
    oxygen demand

    Unstable : symptom pattern


    worsen abruptly without an
    obvious caused of increased
    Angina Pectoris

    Non Anginal caused of
    chest pain
    Musculosceletal disorders
    GI disorders ( peptic ulcers )
    Aortic dissection
    Thoracic aneurysm
    Esophageal spasm
    Pneumonia
    Pericarditis
    Neuropsychiatric causes (eg.
    Panic disorder )
    Thank
    You

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