Acute Coronary Syndrome

Acute coronary syndrome (ACS) is acute myocardial ischemia from coronary plaque rupture, encompassing unstable angina, NSTEMI, and STEMI, presenting with acute chest pain. It is a medical emergency. Treatment: hospitalize/CCU; aspirin + P2Y12 inhibitor; anticoagulation; anti-ischemic (beta-blocker/nitrates); statin; urgent reperfusion - primary PCI for STEMI, early invasive strategy for NSTE-ACS; manage heart failure/arrhythmia; secondary prevention.

Common Symptoms

Acute chest pain/pressure; rest/new/crescendo; by UA/NSTEMI/STEMI; diaphoresis/dyspnea

Causes and Pathogenesis

Ruptured/erosured plaque with thrombosis causes acute coronary ischemia/necrosis.

Treatment

Hospitalize; DAPT/anticoagulation; anti-ischemic/statin; urgent reperfusion/angiography; secondary prevention

Preventive Measures

Risk-factor control; antiplatelet/statin; 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.