Unstable angina non ST elevation myocardial infarction

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

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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.

Associate Editor-In-Chief: Neil Gheewala, M.D. [3]

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

Overview

Epidemiology and Demographics

Pathophysiology and Etiology

Pathophysiology and Etiology (UA)

Pathophysiology and Etiology (NSTEMI)

Diagnosis

Symptoms

Differential diagnosis of chest pain

Physical Examination

Risk Stratification and Prognosis

Treatment

Immediate Management

Initial Therapy

Antiplatelet Therapy | Anticoagulant Therapy | Additional Management Considerations for Antiplatelet and Anticoagulant Therapy

Mechanical Reperfusion | Initial Conservative Versus Initial Invasive Strategies | PCI | CABG In patients without ST-segment elevation on the electrocardiogram, urgent angioplasty may occur anytime within the first 24 hours according to the ABOARD randomized controlled trial.[1]

Discharge Care

Medical Regimen

Long-Term Medical Therapy and Secondary Prevention

Post-Discharge Follow-Up

Cardiac Rehabilitation

Special Groups

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

Complications of Bleeding and Transfusion

See Also

Sources

  • The ACC/AHA 2007 Guidelines for the Management of Patients With Unstable Angina/Non-ST-Elevation Myocardial Infarction [2]

References

  1. Montalescot G, Cayla G, Collet JP, Elhadad S, Beygui F, Le Breton H; et al. (2009). "Immediate vs delayed intervention for acute coronary syndromes: a randomized clinical trial". JAMA. 302 (9): 947–54. doi:10.1001/jama.2009.1267. PMID 19724041.
  2. Anderson JL, Adams CD, Antman EM; et al. (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". JACC. 50 (7): e1–e157. PMID 17692738. Text "doi:10.1016/j.jacc.2007.02.013 " ignored (help); Unknown parameter |month= ignored (help)

External links

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