Acute Coronary Syndrome

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I IIa IIb III Hospital Care Conservative vs. Invasive Strategies Early invasive strategy in high-risk patients with any of the following: - Recurrent ischemia, despite meds - Elevated Troponin I or T -New ST-segment depression - New CHF symptoms - High-risk stress test findings - LV dysfunction (EF < 40%) - Hemodynamic instability, sustained VT - PCI within 6 months, prior CABG
Discharge/Post-Discharge Medications I IIa IIb III ASA, if not contraindicated Clopidogrel, when ASA contraindicated Aspirin + Clopidogrel, for up to 9 months -blocker, if not contraindicated Lipid id agents + diet, if LDL >130 mg/dL ACE Inhibitor: CHF, EF < 40%, DM, or HTN
Page 1: Acute Coronary Syndrome: Thoughts o
Page 4 and 5: Case 1 • Exam: • 142/74, HR 88,
Page 6 and 7: Case 1 • Arrival to ED: • ECG
Page 8: Case 1 • Decision made to pursue
Page 12: Evidence Based Data
Page 15 and 16: Variables Used in the TIMI Risk Sco
Page 17 and 18: I IIa IIb III Updated Guidelines Cl
Page 19 and 20: Initial Chest Pain Evaluation Sympt
Page 24 and 25: Lipid Management I IIa IIb III I I
Page 26 and 27: Pravastatin Or atorVastatin Evaluat
Page 28 and 29: Diabetes Mellitus I I I IIa IIb III
Page 30 and 31: Weight Management I IIa IIb III New
Page 32 and 33: Depression I IIa IIb III It is reas
Page 34 and 35: Early Risk Stratification I IIa IIb
Page 36 and 37: Timing of Release of Various Biomar
Page 38 and 39: Immediate Management I IIa IIb III
Page 40 and 41: Anti-Ischemic Therapy I IIa IIb III
Page 42 and 43: Antiplatelet Therapy I IIa IIb III
Page 44 and 45: Initial Conservative Versus Initial
Page 52 and 53: Risk Factor Modification I IIa IIb

Acute Coronary Syndrome

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