TY  - CHAP
M1  - Book, Section
TI  - Acute Coronary Syndromes
A1  - Auguste, Uschi
A1  - Kanei, Yumiko
A2  - Go, Ronaldo Collo
PY  - 2019
T2  - Critical Care Examination and Board Review
AB  - An  acute  coronary  syndrome  (ACS)  encompasses  a  clinical  spectrum  of  myocardial  ischemia  ranging  from  unstable  angina  (UA)  and  non–ST-segment  elevation  myocardial  infarction  (NSTEMI)  to  ST-segment  elevation  myocardial  infarction  (STEMI),  and  represents  an  acute  phase  of  coronary  atherosclerosis.1-3  Early  recognition,  diagnosis,  and  prompt  revascularization  of  the  culprit  lesion  with  percutaneous  coronary  intervention  (PCI)  is  the  contemporary  management  strategy  for  patients  presenting  with  STEMI  or  high-risk  NSTEMI.1,2,4,5  Acute  plaque  rupture  and  subsequent  atherothrombosis  with  consequent  myocardial  injury  is  the  most  common  etiology  for  ACS;  however,  myocardial  necrosis  in  the  absence  of  unstable  plaque  may  ensue  in  critically  ill  patients  who  are  admitted  for  non–cardiac-related  conditions,  such  as  pulmonary  embolism  and  septic  shock.  These  patients  pose  a  unique  diagnostic  and  management  challenge,  as  concomitant  multiorgan  failure,  electrolyte  derangements,  and  coagulopathy  further  complicate  the  clinical  picture.6-8  In  this  chapter,  we  will  review  the  universal  definition  of  myocardial  infarction  (MI)  and  the  related  patient  presentations,  risk  stratification  models,  complications,  and  management  strategies.  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/04/23
UR  - accessanesthesiology.mhmedical.com/content.aspx?aid=1160186100
ER  -