By Mun K. Hong, Eyal Herzog
Edited by means of prime cardiologists from St. Luke’s-Roosevelt medical institution middle in manhattan, this e-book bargains useful algorithms for acquiring speedy, actual diagnoses and supplying optimum therapy for sufferers with acute coronary syndrome (ACS). You’ll detect the professionals and cons and the entire issues that move into settling on the best interventional and non-invasive options for treating various ACS stipulations.
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Additional info for Acute Coronary Syndrome: Multidisciplinary and Pathway-Based Approach
Patients falling into the Negative category should be admitted to noncardiology teams or to chest pain units for observation and undergo exercise testing with radionuclide or echocardiographic imaging. Patients without any ﬁndings can be safely discharged home with follow-up with a cardiologist. 6 lists the medicines routinely used by ED physicians and highlights key points in their use. 5. 6. Initial pharmacological agents.
These inﬂammatory cells are recruited into the atherosclerotic plaques by adhesion molecules, such as VCAM-1, and chemokines, such as MCP-1. Inﬂammatory cells can also be recruited inside the atherosclerotic lesion through the adventitial neovasculature, which is enhanced in atherosclerosis. Other factors contributing to recruitment of inﬂammatory cells and their activation in atherosclerosis include oxidized lipids, cytokines such as M-CSF, increased angiotensin II activity, elevated arterial pressure, diabetes, and chronic infections remote from the arterial wall [19, 54].
11). Evidence of signiﬁcant ischemia on any of these stress imaging modalities will be followed by a referral for cardiac catheterization. 10. Initial management of patients with Negative or Low Risk ACS. 18 E. Herzog et al. 11. Risk stratification of Low Risk patients by using cardiac imaging stress testing. 12. Primary prevention for Low Risk patients. If there is no evidence of signiﬁcant ischemia on stress testing, the patients will be discharged home with a recommendation for risk-factor modiﬁcation to include primary prevention medication and lifestyle modiﬁcation (Fig.