Acute coronary syndromes: from the emergency department to the cardiac care unit.

Neville F Mistry, Mark R Vesely

Journal: Cardiology clinics 2013;30(4):617-27

PMID: 23102036

Full Text on Elsevier Science View on PubMed

Abstract

Acute coronary syndromes result in a significant burden of morbidity and mortality in the United States. This spectrum of acute coronary thrombosis (including unstable angina, non-ST-segment elevation myocardial infarction, and ST-elevation myocardial infarction) has been well studied in large clinical trials. This review details the initial management of patients presenting with possible acute coronary syndromes in the context of care from the emergency department to the cardiac care unit. The importance of a rapid and focused evaluation, risk stratification, and appropriate therapies are discussed.

Address: Department of Medicine, Division of Cardiology, University of Maryland School of Medicine, 110 South Paca Street, 7th Floor, Baltimore, MD 21201, USA.

DOI: 10.1016/j.ccl.2012.07.010

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MeSH Terms: Acute Coronary Syndrome, Adrenergic beta-Antagonists, Anticoagulants, Creatine Kinase, MB Form, Electrocardiography, Emergency Medical Services, Hospital Units, Humans, Percutaneous Coronary Intervention, Platelet Aggregation Inhibitors, Practice Guidelines as Topic, Risk Assessment, Thrombolytic Therapy, Troponin