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Home > West Medicine > Internal Medicine > Cardiology
I20.000

Unstable Angina

心内科

Common symptoms

创伤、心肌梗死、心力衰竭、粪便中排出的粪...、呼吸困难、收缩期杂音、恶心、心悸、心绞痛

The pathology of disease

Unstable angina is acute coronary syndrome without myocardial-necrosis biomarker (troponin) elevation, presenting with new-onset, crescendo, or rest angina, due to ruptured/erosured coronary plaque. It is a medical emergency. Treatment: hospitalize; aspirin + P2Y12 inhibitor; anticoagulation (heparin); anti-ischemic therapy (beta-blocker/nitrates); statin; urgent/early coronary angiography and revascularization (PCI/CABG) for high-risk features.

Common Symptoms

New/crescendo/rest chest pain; no biomarker rise; ischemic ECG changes; high-risk features

Causes and Pathogenesis

Ruptured/erosured coronary plaque with partial thrombosis causes unstable ischemia without infarction.

Treatment

Hospitalize; DAPT; anticoagulation; anti-ischemic/statin; early angiography/revascularization

Preventive Measures

Risk-factor control; antiplatelet therapy; urgent evaluation of chest pain.

Department to Visit

It is recommended to visit the Cardiology/Emergency department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.