Unstable angina non ST elevation myocardial infarction: Difference between revisions

Jump to navigation Jump to search
No edit summary
No edit summary
Line 35: Line 35:
==[[Unstable angina risk stratification and prognosis| Risk Stratification and Prognosis]]==
==[[Unstable angina risk stratification and prognosis| Risk Stratification and Prognosis]]==


==[[Unstable angina diagnosis| Diagnosis]]==
==Diagnosis==


[[Chest pain|Differential diagnosis]] |  [[Unstable angina / non ST elevation myocardial infarction initial therapy | Initial Therapy]] | [[Unstable angina / non ST elevation myocardial infarction symptoms|Symptoms]] | [[Unstable angina / non ST elevation myocardial infarction physical examination|Physical Examination]] |  [[Unstable angina / NSTEMI ECG|Electrocardiogram]] | [[Unstable angina / NSTEMI bio markers|Biomarkers]] | [[Unstable angina / NSTEMI echocardiogram | Echocardiography]] | [[Unstable angina / NSTEMI angiogram| Coronary Angiography]] | [[Unstable angina / NSTEMI chest x-ray|Chest X-Ray]]
[[Chest pain|Differential diagnosis]] |  [[Unstable angina / non ST elevation myocardial infarction initial therapy | Initial Therapy]] | [[Unstable angina / non ST elevation myocardial infarction symptoms|Symptoms]] | [[Unstable angina / non ST elevation myocardial infarction physical examination|Physical Examination]] |  [[Unstable angina / NSTEMI ECG|Electrocardiogram]] | [[Unstable angina / NSTEMI bio markers|Biomarkers]] | [[Unstable angina / NSTEMI echocardiogram | Echocardiography]] | [[Unstable angina / NSTEMI angiogram| Coronary Angiography]] | [[Unstable angina / NSTEMI chest x-ray|Chest X-Ray]]
Line 41: Line 41:
==[[Unstable angina treatment| Treatment]]==
==[[Unstable angina treatment| Treatment]]==


===[[UA / NSTEMI prehospital care | Pre-hospital Care]]===
'''Pre-hospital Care :''' [[Prehospital care before UA / NSTEMI | Before Onset]] • [[UA / NSTEMI prehospital care | After Onset]]


===[[Unstable angina / non ST elevation myocardial infarction immediate management | Immediate Management]]===
===[[Unstable angina / non ST elevation myocardial infarction immediate management | Immediate Management]]===
Line 47: Line 47:
[[Unstable angina / NSTEMI oxygen therapy |Oxygen]] | [[Unstable angina/NSTEMI nitrate therapy |Nitrates]] | [[Unstable angina/NSTEMI analgesics | Analgesics]] | [[Unstable angina/NSTEMI beta blockers | Beta Blockers]] | [[Unstable angina / NSTEMI CCB therapy | Calcium Channel Blocker]] | [[UA/NSTEMI inhibitors of RAS | Inhibitors of Renin-Angiotensin-Aldosterone axis]]
[[Unstable angina / NSTEMI oxygen therapy |Oxygen]] | [[Unstable angina/NSTEMI nitrate therapy |Nitrates]] | [[Unstable angina/NSTEMI analgesics | Analgesics]] | [[Unstable angina/NSTEMI beta blockers | Beta Blockers]] | [[Unstable angina / NSTEMI CCB therapy | Calcium Channel Blocker]] | [[UA/NSTEMI inhibitors of RAS | Inhibitors of Renin-Angiotensin-Aldosterone axis]]


'''Antithrombin Therapy''' [[Unstable angina / non ST elevation myocardial infarction anticoagulant therapy | Anticoagulant Therapy]] • [[Unstable angina / non ST elevation myocardial infarction anticoagulant therapy#Unfractionated Heparin(UFH)|Unfractionated Heparin]] • [[Unstable angina / non ST elevation myocardial infarction anticoagulant therapy#Low Molecular Weight Heparin(LMWH)|Low Molecular Weight Heparin]] • [[Unstable angina / non ST elevation myocardial infarction anticoagulant therapy#Direct Thrombin Inhibitors|Direct Thrombin Inhibitors]] •  [[Unstable angina / non ST elevation myocardial infarction anticoagulant therapy#Factor Xa Inhibitors |Factor Xa Inhibitors]] •  [[Unstable angina / non ST elevation myocardial infarction anticoagulant therapy#Long Term Anticoagulation|Long Term Anticoagulation]]   
'''Antithrombin Therapy :''' [[Unstable angina / non ST elevation myocardial infarction anticoagulant therapy | Anticoagulant Therapy]] • [[Unstable angina / non ST elevation myocardial infarction anticoagulant therapy#Unfractionated Heparin(UFH)|Unfractionated Heparin]] • [[Unstable angina / non ST elevation myocardial infarction anticoagulant therapy#Low Molecular Weight Heparin(LMWH)|Low Molecular Weight Heparin]] • [[Unstable angina / non ST elevation myocardial infarction anticoagulant therapy#Direct Thrombin Inhibitors|Direct Thrombin Inhibitors]] •  [[Unstable angina / non ST elevation myocardial infarction anticoagulant therapy#Factor Xa Inhibitors |Factor Xa Inhibitors]] •  [[Unstable angina / non ST elevation myocardial infarction anticoagulant therapy#Long Term Anticoagulation|Long Term Anticoagulation]]   


'''Antitplatelet Agents''' [[Unstable angina / non ST elevation myocardial infarction antiplatelet therapy| Antiplatelet Therapy]] • [[Unstable angina / non ST elevation myocardial infarction antiplatelet therapy#Aspirin|Aspirin]] • [[Unstable angina / non ST elevation myocardial infarction antiplatelet therapy#Thienopyridines|Thienopyridines]] • [[Unstable angina / non ST elevation myocardial infarction antiplatelet therapy#Glycoprotein IIb/IIIa Inhibitor|Glycoprotein IIb/IIIa Inhibitor]]  
'''Antitplatelet Agents :''' [[Unstable angina / non ST elevation myocardial infarction antiplatelet therapy| Antiplatelet Therapy]] • [[Unstable angina / non ST elevation myocardial infarction antiplatelet therapy#Aspirin|Aspirin]] • [[Unstable angina / non ST elevation myocardial infarction antiplatelet therapy#Thienopyridines|Thienopyridines]] • [[Unstable angina / non ST elevation myocardial infarction antiplatelet therapy#Glycoprotein IIb/IIIa Inhibitor|Glycoprotein IIb/IIIa Inhibitor]]  


[[Unstable angina / non ST elevation myocardial infarction additional management considerations for antiplatelet and anticoagulant therapy | Additional Management Considerations for Antiplatelet and Anticoagulant Therapy]]
[[Unstable angina / non ST elevation myocardial infarction additional management considerations for antiplatelet and anticoagulant therapy | Additional Management Considerations for Antiplatelet and Anticoagulant Therapy]]


'''Mechanical Reperfusion''' [[Unstable angina / non ST elevation myocardial infarction initial conservative versus initial invasive strategies | Initial Conservative Versus Initial Invasive Strategies]]  | [[Unstable angina / non ST elevation myocardial infarction recommendations for PCI‎ | PCI]]  | [[Unstable angina / non ST elevation myocardial infarction recommendations for CABG | CABG]]
'''Mechanical Reperfusion :''' [[Unstable angina / non ST elevation myocardial infarction initial conservative versus initial invasive strategies | Initial Conservative Versus Initial Invasive Strategies]]  [[Unstable angina / non ST elevation myocardial infarction recommendations for PCI‎ | PCI]]  [[Unstable angina / non ST elevation myocardial infarction recommendations for CABG | CABG]]


==Discharge Care==
==Discharge Care==

Revision as of 20:57, 11 April 2011

130pix
130pix

Unstable angina pectoris
ICD-10 I20
ICD-9 413
DiseasesDB 8695
eMedicine med/133 
MeSH D000787

Template:Search infobox

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Associate Editor-In-Chief: Cafer Zorkun, M.D., Ph.D. [2]; Smita Kohli, M.D.; Neil Gheewala, M.D. [3]; Varun Kumar, M.B.B.S.; Lakshmi Gopalakrishnan, M.B.B.S.

Please Join in Editing This Page and Apply to be an Editor-In-Chief for this topic: There can be one or more than one Editor-In-Chief. You may also apply to be an Associate Editor-In-Chief of one of the subtopics below. Please mail us [4] to indicate your interest in serving either as an Editor-In-Chief of the entire topic or as an Associate Editor-In-Chief for a subtopic. Please be sure to attach your CV and or biographical sketch.

Synonyms and related keywords: angina at rest, rest angina, progressive angina, crescendo angina, accelerating angina, new-onset angina, pre-infarction angina, unstable angina pectoris, UAP, UA

Overview

Epidemiology and Demographics

Pathophysiology and Etiology

Unstable Angina | Non-ST Elevation Myocardial Infarction

Risk Stratification and Prognosis

Diagnosis

Differential diagnosis | Initial Therapy | Symptoms | Physical Examination | Electrocardiogram | Biomarkers | Echocardiography | Coronary Angiography | Chest X-Ray

Treatment

Pre-hospital Care : Before Onset After Onset

Immediate Management

Oxygen | Nitrates | Analgesics | Beta Blockers | Calcium Channel Blocker | Inhibitors of Renin-Angiotensin-Aldosterone axis

Antithrombin Therapy : Anticoagulant TherapyUnfractionated HeparinLow Molecular Weight HeparinDirect Thrombin InhibitorsFactor Xa InhibitorsLong Term Anticoagulation

Antitplatelet Agents : Antiplatelet TherapyAspirinThienopyridinesGlycoprotein IIb/IIIa Inhibitor

Additional Management Considerations for Antiplatelet and Anticoagulant Therapy

Mechanical Reperfusion : Initial Conservative Versus Initial Invasive Strategies PCI CABG

Discharge Care

Medical Regimen | Post-Discharge Follow-Up | Cardiac Rehabilitation | Long-Term Medical Therapy and Secondary Prevention

Complications of Bleeding and Transfusion

Special Groups

Women | Diabetic Patients | Post CABG Patients | Elderly | Chronic Kidney Disease | Drug and Substance Abusers | Prinzmetal's Angina | Cardiovascular Syndrome X

See Also

Sources

  • 2011 ACCF/AHA Focused Update Incorporated Into the ACC/AHA 2007 Guidelines for the Management of Patients With Unstable Angina/Non-ST-Elevation Myocardial Infarction: A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines[1]
  • The ACC/AHA 2007 Guidelines for the Management of Patients With Unstable Angina/Non-ST-Elevation Myocardial Infarction [2]

References

  1. Anderson JL, Adams CD, Antman EM, Bridges CR, Califf RM, Casey DE, Chavey WE, Fesmire FM, Hochman JS, Levin TN, Lincoff AM, Peterson ED, Theroux P, Wenger NK, Wright RS (2011). "2011 ACCF/AHA Focused Update Incorporated Into the ACC/AHA 2007 Guidelines for the Management of Patients With Unstable Angina/Non-ST-Elevation Myocardial Infarction: A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines". Circulation. doi:10.1161/CIR.0b013e318212bb8b. PMID 21444888. Retrieved 2011-04-08. Unknown parameter |month= ignored (help)
  2. Anderson JL, Adams CD, Antman EM, Bridges CR, Califf RM, Casey DE, Chavey WE, Fesmire FM, Hochman JS, Levin TN, Lincoff AM, Peterson ED, Theroux P, Wenger NK, Wright RS, Smith SC, Jacobs AK, Adams CD, Anderson JL, Antman EM, Halperin JL, Hunt SA, Krumholz HM, Kushner FG, Lytle BW, Nishimura R, Ornato JP, Page RL, Riegel B (2007). "ACC/AHA 2007 guidelines for the management of patients with unstable angina/non-ST-Elevation myocardial infarction: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the 2002 Guidelines for the Management of Patients With Unstable Angina/Non-ST-Elevation Myocardial Infarction) developed in collaboration with the American College of Emergency Physicians, the Society for Cardiovascular Angiography and Interventions, and the Society of Thoracic Surgeons endorsed by the American Association of Cardiovascular and Pulmonary Rehabilitation and the Society for Academic Emergency Medicine". Journal of the American College of Cardiology. 50 (7): e1–e157. doi:10.1016/j.jacc.2007.02.013. PMID 17692738. Retrieved 2011-04-11. Unknown parameter |month= ignored (help)

External links

Template:SIB


Template:WikiDoc Sources