When the ischaemia-causing infarction is either short-lived or affects only a small territory of myocardium the ECG will often show either no abnormality or subtle changes. This syndrome is termed non-ST-segment elevation myocardial infarction (NSTEMI). The diagnosis and immediate management of ...
Acute coronary syndromes (ACS) include unstable angina, non-ST-segment elevation myocardial infarction (NSTEMI), and ST-segment elevation myocardial infarction (STEMI). The management of ACS has improved greatly over the last 3 decades, with an associated steady decline in mortality from this ...
Acute coronary syndromes (ACS) include unstable angina, non-ST-segment elevation myocardial infarction (NSTEMI), and ST-segment elevation myocardial infarction (STEMI). The management of ACS has improved greatly over the last 3 decades, with an associated steady decline in mortality from this conditi...
In stable asymptomatic patients with NSTEMI, the initial management approach is typically medical, focusing on using antiplatelet agents and other appropriate medications. However, PCI can be performed within 48 hours of admission if necessary. This delayed PCI strategy has been shown to potentially imp...
Within the MI group 21 (36%) had STEMI and 38 (64%) NSTEMI. There were no differences in mean age or sex of either MI group. The median time to recruitment post MI event was 1 day (interquartile range IQR 1–3, overall range day 0–22). 81% patients were recruited within 3 day...
Acute myocardial infarction has traditionally been divided into ST elevation or non-ST elevation myocardial infarction; however, therapies are similar between the two, and the overall management of acute myocardial infarction can be reviewed for simplicity. Acute myocardial infarction remains a leading cau...
an echocardiogram performed at this juncture can be used to look for new wall motion abnormalities (RWMAs) as ischemic RWMAs develops quite early. Recently, In a recent German study, use of TTE was found to be useful in supporting or refuting further invasive management in patients with suspe...
the National Institute for Health and Care Excellence (NICE) invited the company that manufactures rivaroxaban (Xarelto, Bayer) to submit evidence of the clinical and cost effectiveness of rivaroxaban for the prevention of adverse outcomes in patients after the acute management of acute coronary syndrom...
This topic will address the management of nonculprit lesions in patients with ST-elevation MI (STEMI) and non-ST-elevation MI (NSTEMI). Other aspects of percutaneous coronary intervention in patients with acute coronary syndromes (ACS) can be found separately: ...
more challenging than that of patients presenting with CS already at admission, and they must not be overlooked. In fact, there has been no major breakthrough in the management of CS since the 1990s. There is still a need to improve understanding, risk stratification, and management of CS. ...