Coronary arteries are the part of heart muscles, in which the blood flow decreases due to acute coronary syndromes results in failed to function properly. Most common symptoms associated with ACS are chest pain, nausea, sweating and diabetes mellitus in older patients.
ACS is most commonly connected with three clinical manifestations: These types are names as per the appearance of Electrocardiogram (ECG).
1. ST elevation myocardial infarction (STEMI, 30%),
2. Non ST elevation myocardial infarction (NSTEMI, 25%)
3. Unstable angina (38%)
Different diagnosis methods
• Imaging and blood tests
• Prediction scores
Acute coronary syndrome often reflects a degree of damage to the coronaries by atherosclerosis. Primary prevention of atherosclerosis is controlling the risk factors: healthy eating, exercise, treatment for hypertension and diabetes, avoiding smoking and controlling cholesterol levels; in patients with significant risk factors, aspirin has been shown to reduce the risk of cardiovascular events. Secondary prevention is discussed in myocardial infarction.
After a ban on smoking in all enclosed public places was introduced in Scotland in March 2006, there was a 17% reduction in hospital admissions for acute coronary syndrome. 67% of the decrease occurred in non-smokers.
People with presumed ACS are typically treated with aspirin, clopidogrel or ticagrelor, nitroglycerin, and if the chest discomfort persists morphine.
- Track 1-1. Vitamin D intake and the risk of heart disease
- Track 1-2. Prosthetic heart valves and associated complications
- Track 1-3. Thrombolytic therapy in stroke
- Track 1-4. Mental stress and its gender-specific link to coronary diseases
- Track 1-5. Statin therapy for prevention of heart diseases
- Track 1-6. Influence of diet and gut flora on cardiovascular diseases
- Track 1-7. Cardiac rehabilitation
- Track 1-8. Cardiac stem cells