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Topic: Acute coronary syndrome

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	eMedicine - Acute Coronary Syndrome : Article by Drew E Fenton
		The excessive mortality rate of coronary heart disease is primarily due to rupture and thrombosis of the atherosclerotic plaque.
		Coronary vasospasm is a frequent complication in patients with connective tissue disease.
		Coronary artery ostial stenosis may occur after repair of a transposition of the great arteries in the neonatal period.
	www.emedicine.com /emerg/topic31.htm (8940 words)

	Heart Attack and Acute Coronary Syndrome - Evanston Northwestern Healthcare (Site not responding. Last check: )
		Coronary artery disease is the most common cause of heart attacks, which occurs when blood flow to the myocardium is interrupted.
		Acute coronary syndromes are severe and sudden heart conditions that require aggressive treatment but have not developed into a full blown heart attack.
		Syndrome X. Syndrome X is a condition that occurs when patients have atypical angina chest pain, their electrocardiograms are abnormal during a stress test, but they have no signs of blocked arteries.
	www.enh.org /healthandwellness/encyclopedia/wellconnected/000012.aspx (15544 words)

	Diagnosis of Acute Coronary Syndrome - July 1, 2005 - American Family Physician
		The term "acute coronary syndrome" is useful because the initial presentation and early management of unstable angina, STEMI, and NSTEMI frequently are similar.
		Differentiating acute coronary syndrome from noncardiac chest pain is the primary diagnostic challenge.
		The likelihood of acute myocardial infarction is extremely low in patients with a normal or nearly normal ECG who are younger than 60 years and do not have pain described as "pressure" or pain radiating to the arm, shoulder, neck, or jaw.
	www.aafp.org /afp/20050701/119.html (4026 words)

	Acute coronary syndrome - Wikipedia, the free encyclopedia
		Acute coronary syndrome is a clinical diagnosis, i.e.
		The accepted management of unstable angina and acute coronary syndrome is therefore empirical treatment with aspirin, heparin (usually a low-molecular weight heparin such as enoxaparin) and clopidogrel, with intravenous glyceryl trinitrate and opioids if the pain persists.
		Acute coronary syndrome often reflects a degree of damage to the coronaries by atherosclerosis.
	en.wikipedia.org /wiki/Acute_coronary_syndrome (530 words)

	Postgraduate Medicine: Initial appraisal of acute coronary syndrome
		Acute coronary chest pain syndromes are due to coronary vessel obstruction and thrombotic occlusion.
		Thus the pathogenic rate-limiting mechanism of acute coronary syndrome appears to be critically dependent on acute thrombosis and the resultant obstruction of the coronary lumen.
		Efforts to demonstrate coronary disease in the emergency department, such as electron beam computed tomography (EBCT) (to detect coronary artery calcium score) and stress testing for radioisotope-defined perfusion defects or echo-defined regional wall-motion abnormalities (alterations in coronary flow reserve), are dependent on significant luminal narrowing and calcification for detection.
	www.postgradmed.com /issues/2002/07_02/rosamond1.htm (4145 words)

	Acute Coronary Syndromes - Causes, Symptoms And Treatment
		Acute coronary syndromes (ACS) is a disease that describes the various conditions such as non-Q-wave myocardial infarction, and Q-wave myocardial infarction.
		It may be caused by coronary vessel obstruction and thrombotic occlusions from rupture or erosion of plaque.
		The most common cause of unstable angina is coronary artery disease that may be occur due to atherosclerosis.
	www.pregnancy-calendars.org /diseases/acute-coronary-syndromes.html (513 words)

	MAMC: Acute Coronary Syndrome/MI Metrics (Site not responding. Last check: )
		Acute diagnostics testing: A EKG will be done in less than 20 minutes from the time the patient arrives at the facility or the time the condition is recognized if within the facility.
		Acute therapies: Aspirin will be delivered in the emergency department or at the location of the problem recognition if the patient is within the facility.
		Acute therapies with EKG changes: Thrombolytics will be given in less than 45 minutes from the time the patient arrives at the facility to drug delivery or the time the condition is recognized if within the facility
	www.mamc.amedd.army.mil /clinical/standards/acu_coronary_met.htm (173 words)

	ScienceDaily: Simpler 'Alphabet' Guidelines For Treating Acute Coronary Syndrome Reduce Risk
		A simplified approach to the management of patients with an acute coronary syndrome (chest pain at rest or with mild exertion) can help ensure that precise risk-reducing strategies are followed to the letter by doctors and other caregivers of patients with this medical condition, according to a study by Johns Hopkins researchers.
		According to the AHA, acute coronary syndrome is an umbrella term describing a group of clinical symptoms associated with chest pain (acute myocardial ischemia) caused by insufficient blood supply to the heart muscle because of clogged arteries.
		Non-ct-segment elevation acute coronary syndrome is a very common form of this disease, according to the AHA, and is a major cause of emergency care and hospitalization in the United States.
	www.sciencedaily.com /releases/2005/01/050126111416.htm (1633 words)

	NGC - NGC Summary
		The purpose of triage is to avoid delay in the identification of acute coronary syndromes, not to diagnose common, non-emergent causes of chest pain.
		The Incidence of Dressler's Syndrome is roughly 1 to 3 % of AMI patients.
		When coronary disease is unlikely based on highly atypical symptoms and low prevalence of coronary disease among the population to which the patient belongs, stress testing may be misleading.
	www.guideline.gov /summary/summary.aspx?doc_id=8362 (11960 words)

	PreventDisease.com - Heart Attack and Acute Coronary Syndrome
		Incidents of acute stress have been associated with a higher risk for serious cardiac events, such as heart rhythm abnormalities and heart attacks, and even death from such events in people with heart disease.
		Acute coronary syndrome refers to both unstable angina and non Q-wave myocardial infarction, because they are treated differently then full-blown heart attacks.
		An acute coronary syndrome is either unstable angina or a non-Q wave heart attack, they are less severe than heart attacks but may develop into full-blown attacks without aggressive treatment.
	www.preventdisease.com /diseases/heart_attack.html (10731 words)

	Acute Coronary Syndrome
		This syndrome encompasses several diseases, previously thought to be separate and defined disease states.
		CONCLUSIONS: Blood transfusion in the setting of acute coronary syndromes is associated with higher mortality, and this relationship persists after adjustment for other predictive factors and timing of events.
		Conclusions: In the two years that followed publication of the NSF there were improvements in the initial treatment and outcome of patients presenting with acute coronary syndromes.
	www.thedoctorsdoctor.com /diseases/acute_coronary_syndrome.htm (3257 words)

	Orange County MRI
		MRI accurately diagnosed 21 of the 25 patients (84 percent) determined to have acute coronary syndrome—a significantly higher level of sensitivity than EKG criteria for ischemia (restricted blood flow), blood enzyme levels, and TIMI risk score.
		In unstable angina, the coronary artery has many or all of the same characteristics as a heart attack, except that the problems are not quite severe enough to cause permanent heart damage.
		Patients with undetected acute coronary syndrome are twice as likely to die as those whose condition is detected and treated.
	www.ochealthcare.com /imaging.htm (998 words)

	Headache Acute Coronary Syndromes
		In particular, no information is provided as to whether a workup routinely was performed to rule out an acute coronary syndrome in their sample of patients.
		The failure to recognize acute coronary syndromes in the emergency department is still a serious public health issue.
		The harmful consequences of overlooking the diagnosis of headache as an equivalent of angina pectoris are such that surveillance for this syndrome should be intensified.
	www.headachedrugs.com /archives/coronary_syndromes.html (495 words)

	Dakota Clinic / Innovis Health - Acute Coronary Syndrome
		Research has proven that patients with ACS (Acute Coronary Syndrome), are much more likely to recover fully from their heart attack if treated within 90 minutes.
		The Acute Coronary Syndrome Alert program at Innovis Health was developed to help connect rural areas with the equipment, technology, and medical procedures available to patients in metro areas.
		The treatment goal is to direct angioplasty/stent the coronary artery causing the MI within 120 minutes from the time the patient arrives at their local emergency department to balloon inflation of the coronary artery at Innovis Health catheterization lab.
	www.dakotaclinic.com /Services/HeartVascular/AcuteCoronarySyndrome.aspx (324 words)

	Acute Coronary Syndromes Understanding Acute Coronary Syndromes Overview Acute Coronary Heart Syndromes (Site not responding. Last check: )
		It seems that almost every time you turn on the news nowadays you are bombarded with alarming statistics of the "health concern of the day." In that jungle of data and medical language, however, there is one constant: More people in the United States die of heart disease than of any other medical condition.
		Adverse coronary events, such as unstable angina and acute myocardial infarction, in which the primary culprit is atherosclerosis.
		An MI occurs when blood flow is decreased or cut off to an area of the heart, and that section of the heart subsequently dies.
	www.coronaryheartdisease.org /acute-cornory-syndromes.htm (567 words)

	Acute Coronary Syndrome and Acute Myocardial Infarction (Heart Attack)
		Although the death rate from heart attacks has fallen by 30 percent over the last decade, this condition is still fatal in about one-third of patients.
		This procedure, known as primary coronary intervention, is effective in saving lives.
		State-of-the-art interventional techniques, such as angioplasty, atherectomy, radiation and drug-coated stenting to reduce re-narrowing of the artery after balloon angioplasty are also offered.
	heart.uchc.edu /patientcare/services/coronary_syndrome.html (172 words)

	Acute coronary syndrome and chronic infection in the Cork coronary care case-control study -- Sheehan et al. 91 (1): 19 ...
		Acute coronary syndrome and chronic infection in the Cork coronary care case-control study -- Sheehan et al.
		Acute coronary syndrome and chronic infection in the Cork coronary care case–control study
		and cumulative burden of infection and acute coronary syndrome.
	heart.bmjjournals.com /cgi/content/full/91/1/19 (2594 words)

	Can we trigger an acute coronary syndrome? -- Kloner 92 (8): 1009 -- Heart
		Triggers, acute factors, and vulnerable plaques: the lexicon of a new frontier.
		Triggering of acute coronary syndromes by physical exertion and anger: clinical and sociodemographic characteristics.
		Circadian variation of acute myocardial infarction and the effect of low dose aspirin in a randomized trial of physicians.
	heart.bmjjournals.com /cgi/content/full/92/8/1009 (1168 words)

	Access to catheterisation facilities in patients admitted with acute coronary syndrome: multinational registry study -- ... (Site not responding. Last check: )
		Clinical outcomes for all patients with acute coronary syndrome, for patients admitted to hospitals with or without catheterisation laboratory (open squares are unadjusted ratios and closed squares are adjusted ratios)
		Rationale and design of the GRACE (global registry of acute coronary events) project: a multinational registry of patients hospitalized with acute coronary syndromes.
		A validated prediction model for all forms of acute coronary syndromes: estimating the risk of 6-month postdischarge death in an international registry.
	bmj.bmjjournals.com /cgi/content/full/330/7489/441 (4308 words)

	Cardiology : PRIME, Scientific Library
		Abstract - Presentation (40 Slides) The metabolic syndrome is defined as constellation of traits that, when clustered together, lead to an increased...
		Minimizing the Long Term Risk of Ischemic Events in Patients With Acute Coronary Syndrome
		The Impact of Long-term Antiplatelet Therapy in Stroke & Acute Coronary Syndrome
	primeinc.org /catalog/index.php?main_page=index&cPath=1 (124 words)

	Blood transfusion in acute coronary syndrome American Family Physician - Find Articles
		The predicted probability of death was higher when a transfusion was performed for hematocrit values greater than 25 percent, with no benefit or risk detected for transfusions given for values lower than 25 percent.
		N Engl J Med October 25, 2001;345:1230-6) showed a benefit of selective transfusion in elderly patients hospitalized with acute coronary syndrome and a hematocrit less than 33 percent on admission (i.e., not acutely developing during hospitalization).
		Bottom Line: Blood transfusion in otherwise stable patients with acute coronary syndrome who develop anemia during hospitalization may increase mortality risk, especially if the hematocrit level is higher than 25 percent.
	www.findarticles.com /p/articles/mi_m3225/is_4_71/ai_n12937345 (355 words)

	ClotCare: Warfarin and Aspirin Combination in Acute Coronary Syndrome
		Warfarin and aspirin combination in acute coronary syndrome: "benefits far outweigh the risks for many patients".
		Warfarin plus aspirin after myocardial infarction or the acute coronary syndrome: Meta-analysis with estimates of risk and benefit.
		Aspirin and coumadin after acute coronary syndromes (the ASPECT-2 study): a randomised controlled trial.
	www.clotcare.com /clotcare/warfarinandaspirinforacs.aspx (595 words)

	Kaiser Clinical Practice Guidelines for Evaluating EVALUATING ACUTE CORONARY SYNDROME IN CHEST PAIN PATIENTS IN THE ... (Site not responding. Last check: )
		syndrome after diagnoses of acute transmural myocardial infarction and noncardiac chest pain have been excluded.
		Acute coronary syndrome (ACS) refers to the acute presentation of patients having CAD.
		coronary syndrome should be as well equipped as those in a step-down or transitional care unit.
	www.kaiserpapers.org /chestemer.html (10060 words)

	Acute coronary syndrome
		Specific information on acute coronary syndrome and the benefits of the anticoagulant Angiox® in patients undergoing percutaneous coronary intervention (PCI) sign up now.
		If you are interested in more information about acute coronary syndrome and the benefits and medical profile of the anticoagulant Angiox
		(bivalirudin) is the thrombin-specific anticoagulant for use during Percutaneous Coronary Intervention (PCI).
	www.angiox.com /search/angiox/acute-coronary-syndrome.html (442 words)

	Clinical Trial: Prognosis of Acute Coronary Syndrome in HIV-Infected Patients
		Objectives: Evaluate differences for mortality, morbidity and the cardiovascular risk factors between HIV and non-HIV patients with an acute coronary syndromes (ACS) after a 3-years follow up.
		Little is known to date, concerning the outcome and prognostic factors of patients with acute coronary syndrome and HIV-infection.
		Acute coronary syndromes (STEMI, NSTEMI and unstable angina)
	www.clinicaltrials.gov /ct/show/NCT00139958 (363 words)

	Acute Coronary Syndromes
		History-Taking Skills: Students should be able to obtain, document, and orally present a medical history that identifies and suggests the diagnosis of an acute coronary syndrome, including:
		Differential Diagnosis: Students should be able to generate a differential diagnosis of acute coronary syndrome by recognizing the specific history and physical exam findings that differentiate cardiac (stable/unstable/Prinzmetal’s angina, acute MI, dissecting aortic aneurysm, pericarditis) from non-cardiac causes of chest pain (musculoskeletal, gastrointestinal, pulmonary embolus, pneumonia)
		Week 2: “Evaluation of the Patient with Acute Chest Pain,” Lee T., Goldman L., NEJM, Apr. 2000, Vol 342, No. 16, pp.
	www.siumed.edu /medicine/clerk/objectives/acute_coronary_syndromes.htm (456 words)

	Acute Coronary Syndrome: Biochemical Strategies in the Troponin Era -- Panteghini 122 (4): 1428 -- Chest
		Acute Coronary Syndrome: Biochemical Strategies in the Troponin Era -- Panteghini 122 (4): 1428 -- Chest
		chest pain and suspected coronary syndrome, and the laboratory
		to classify acute coronary syndrome patients presenting with
	www.chestjournal.org /cgi/content/abstract/122/4/1428 (327 words)

	Acute Coronary Syndrome
		No prior coronary symptoms in >50% with fatal acute MI
		Coronary deaths account for 20% of all deaths in U.S. Pathophysiology: Atherosclerotic
		This is one page of 17 in this chapter, 310 in this book, and 4774 in the Family Practice Notebook.
	www.fpnotebook.com /CV30.htm (149 words)

	The Journal of Family Practice
		Steroid injection equivalent to surgery for carpal tunnel syndrome 401
		Acute sinusitis, antibiotics, and the Holy Grail 152
		Acute otitis media: Influence of the PCV-7 vaccine on changes in the disease and its management 961
	www.jfponline.com /Subject_Index_topic.asp?year=2005 (3313 words)

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